Active NPI
Medicalodges, Inc.
Doing business as Medicalodges Girard
- Skilled Nursing Facility
- Girard, KS
National Provider Identifier
1902209703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- MEDICALODGES, INC.
- Doing business as
- Medicalodges Girard
- Practice address
- 511 N Western Ave
Girard, KS 66743-1152 - Phone
- (620) 724-8288
- NPI assigned
- Oct 7, 2014
- Last updated
- Nov 19, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Scott Hines, CPA
- Title
- Chief Financial Officer
- Phone
- (620) 251-6700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
511 N Western Ave
Girard, KS 66743-1152
Mailing address
201 W 8TH St
P.O. Box 509
Coffeyville, KS 67337-5807
Phone (620) 251-6700
Other names 1
- Medicalodges Girard
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Medicalodges Post Acute Care Center
- Skilled Nursing Facility
- Kansas City, KS
- NPI 1790872620
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412640000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1416355200000",
"number": "1902209703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 W 8TH ST",
"address_2": "P.O. BOX 509",
"city": "COFFEYVILLE",
"state": "KS",
"postal_code": "673375807",
"telephone_number": "620-251-6700",
"fax_number": "620-709-0442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 N WESTERN AVE",
"city": "GIRARD",
"state": "KS",
"postal_code": "667431152",
"telephone_number": "620-724-8288"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICALODGES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-07",
"last_updated": "2014-11-19",
"status": "A",
"authorized_official_last_name": "HINES",
"authorized_official_first_name": "SCOTT",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "620-251-6700",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CPA"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Medicalodges Girard",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Girard, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.