NPIMap

Organization Active NPI

Medicalodges, Inc.

  • Skilled Nursing Facility
  • Dewey, OK
National Provider Identifier
1851472922
Registry record updated Nov 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH74047404 Issued in OK
Legal business name
MEDICALODGES, INC.
Practice address
430 Bartles Road
Dewey, OK 74029-0520
Phone
(918) 534-2848
Fax
(918) 534-2558
NPI assigned
Oct 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Scott L Hines
Title
Chief Financial Officer
Phone
(620) 709-0305

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH74047404 OK Primary

Addresses

Primary practice location

430 Bartles Road
Dewey, OK 74029-0520

Mailing address

430 Bartles Road
P.O. Box 520
Dewey, OK 74029-0520
Phone (918) 534-2848

Other identifiers 1

IdentifierTypeStateIssuer
100773540AMedicaidOK

Other names 1

  • Medicalodges Dewey Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030907000002 OK Part A Provider - Skilled Nursing Facility 4688585979 Practice locations: Dewey, OK

Skilled nursing facility certification: CCN 375150

Legal name
MEDICALODGES INC
Doing business as
MEDICALODGES DEWEY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1994
Last certification
Nov 5, 2024
Beds
58
Ownership / control type
Corporation
Multi-facility organization
medicalodges, Inc.
Organization structure
CorporationProprietary
Enrollment address
430 Bartles Road
Dewey, OK 74029-5807
Nursing home name
MEDICALODGES DEWEY
Affiliated entity
MEDICALODGES, INC.

Other NPIs with the same Medicare PAC ID 15

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 15

Care Compare: Nursing home

Medicare Care Compare
Listed as
Medicalodges DeweyCCN 375150
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 1, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5837.0 residents per day on average
Chain
Medicalodges, Inc.18 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D0473210Medicalodges Dewey430 Bartles Road, Dewey, OK 74029Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Medicalodges Inc47 organizations share this tax ID, including this one

Other organizations with this tax ID 46

Organizations that report the same tax identification number in the National Provider Directory.

View all 46

Ownership & related parties

All disclosed owners & managing parties 30

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Catherine W Rohling McCord Individual Corporate OfficerVP of Financial Reporting Jun 9, 2000
Trustee of the SNF Jun 9, 2000
Ron Ott Individual Corporate DirectorBoard Member Sep 15, 2006
Kristyn Fisher Individual Corporate OfficerAssistant Secretary Mar 28, 2024
Kathleen L Lantz Individual Corporate OfficerVP and Director of Employee Safety Oct 22, 2007
Travis I McBride Individual Corporate OfficerRegional Vice President Nov 15, 2012
Lori a Waechter Harmon Individual Corporate OfficerVice President Revenue Management Mar 31, 2018
Richard Butler Individual Corporate DirectorChairman of the Board of Directo Jul 1, 2003
Organization, Murfreesboro, TN Corporation, Medical provider/supplier Adp of the SNF Nov 17, 2025
William Bryan Dillon Individual Corporate OfficerRegional Vice President Sep 12, 2022
Carol Marshall Individual Corporate DirectorBoard Member Jul 27, 2006
Gayle M Doll Individual Corporate DirectorBoard Member Mar 10, 2005
Individual Adp of the SNF Jan 1, 2000
Medicalodges Inc Organization, Coffeyville, KS Corporation, For-profit, Chain home office 5% Or Greater Direct Ownership Interest Apr 19, 1976 100%
Stephanie J Bean Individual Operational/Managerial Control Jul 28, 2014
Adp of the SNF Nov 17, 2025
Amber Schertz Individual Corporate OfficerRegional Vice President Oct 5, 2023
Bridget C Grover Individual Corporate DirectorBoard Member Jun 1, 2025
Individual Adp of the SNF Jan 1, 2000
Organization, Lenexa, KS Corporation, Medical provider/supplier Adp of the SNF Nov 17, 2025
Samantha Listwan Individual Corporate OfficerRegional VP of Home Services Jun 5, 2017
Teresa Coover Individual Corporate OfficerChief Clinical Officer Sep 21, 2017
Garen L Cox Individual Corporate DirectorBoard Member Feb 26, 1998
Trustee of the SNF Jun 9, 2000
Organization, Prairie Village, KS Corporation Adp of the SNF Nov 17, 2025
Rodger B Spillars Individual Operational/Managerial Control Jun 1, 2025
Adp of the SNF May 1, 2025
Elizabeth Kelly Individual Corporate OfficerVP and General Counsel Mar 27, 2025
Individual Adp of the SNF May 1, 2025
Scott L Hines Individual Corporate OfficerCeo/President Mar 20, 2009
Corporate DirectorCeo/President Mar 19, 2009
Operational/Managerial Control Mar 19, 2009
Trustee of the SNF Mar 20, 2009
Kevin Christmas Individual Corporate OfficerVP and Director of Construction Mar 27, 2025
Shannon M Lager Individual Corporate OfficerCoo Jun 15, 2016
Corporate DirectorVice President Jun 15, 2016
Individual Adp of the SNF May 1, 2025
Jana Daniels Individual Corporate OfficerVP and Director of Human Resources Mar 27, 2025

Owners & managing parties with NPI records 17

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 17

All facility ownership & control disclosures 18

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Medicalodges WichitaWichita, KS, CCN 175008 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Apr 19, 1976
Apr 19, 1976
Jul 15, 2025
Medicalodges Fort ScottFort Scott, KS, CCN 175258 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 19, 1976
Medicalodges Arkansas CityArkansas City, KS, CCN 175313 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 10, 2015
PharmericaColumbus, KS, CCN 175264 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 28, 2014
Medicalodges NeoshoNeosho, MO, CCN 265266 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Apr 19, 1976
Medicalodges ButlerButler, MO, CCN 265564 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Medicalodges KinsleyKinsley, KS, CCN 175275 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 4, 1966
Medicalodges NevadaNevada, MO, CCN 265493 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Medicalodges AtchinsonAtchison, KS, CCN 175141 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 1966
Cascade Health ServicesLeavenworth, KS, CCN 175162 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Apr 19, 1976
Apr 19, 1976
Jul 16, 2025
Medicalodges PaolaPaola, KS, CCN 175413 Skilled nursing facility 5% Or Greater Direct Ownership Interest Jul 22, 2009
Medicalodges EudoraEudora, KS, CCN 175502 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2007
Medicalodges FrontenacFontenac, KS, CCN 175363 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Mar 1, 2013
Mar 1, 2013
Dec 17, 2025
Medicalodges IndependenceIndependence, KS, CCN 175464 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Other (100%)		 Apr 19, 1976
Nov 1, 2013
Medicalodges Great BendGreat Bend, KS, CCN 175522 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Other (100%)		 Apr 19, 1976
Aug 1, 2018
Medicalodges Coffeyville on MidlandCoffeyville, KS, CCN 175290 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2022
Medicalodges IolaIola, KS, CCN 175226 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) May 1, 2022
Medicalodges GoddardGoddard, KS, CCN 175294 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jun 1, 2025
Nov 14, 2025

Owned or controlled facilities with NPI records 18

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 18

Facilities with the same owner 18

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 18

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320105600000",
    "number": "1851472922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 BARTLES ROAD",
            "address_2": "P.O. BOX 520",
            "city": "DEWEY",
            "state": "OK",
            "postal_code": "740290520",
            "telephone_number": "918-534-2848",
            "fax_number": "918-534-2558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 BARTLES ROAD",
            "city": "DEWEY",
            "state": "OK",
            "postal_code": "740290520",
            "telephone_number": "918-534-2848",
            "fax_number": "918-534-2558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICALODGES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2011-11-01",
        "status": "A",
        "authorized_official_last_name": "HINES",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "620-709-0305",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "NH74047404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100773540A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicalodges Dewey",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dewey, OK

Sources for this page

Verify at the official NPI Registry.