MEDICALODGES INC. NPI 1730260654

NPI Information

NPI: 1730260654
Provider Name: MEDICALODGES, INC.

Doing Business As: GRAN VILLAS EUREKA

Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
1820 E RIVER ST
EUREKA, KS
ZIP 67045
Phone: (620) 583-7473
Get Directions

MEDICALODGES, INC. is an adult day care clinic center in Eureka, KS. MEDICALODGES, INC. NPI is 1730260654. The provider is registered as an organization entity type.
The provider Is Doing Business As Gran Villas Eureka.

The provider's business location address is:

1820 E RIVER ST
EUREKA, KS
ZIP 67045-156
Phone: (620) 583-7473
Fax: (620) 583-7574

The provider's authorized official is Cathy W Fisher .
The authorized official title is Chief Financial Officer and has the following contact phone number (620) 251-6700.

The enumeration date for this NPI number is 10/18/2006 and was last updated on 6/23/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251E00000X	Home Health		N037005	KANSAS	No
2	332B00000X	Durable Medical Equipment & Medical Supplies		N037005	KANSAS	No
3	261QA0600X	Clinic/Center	Adult Day Care	N037005	KANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100068170B	MEDICAID	KANSAS
2	100026530X	MEDICAID	KANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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