Medicalodges Great Bend

LBN: Medicalodges, Inc.
Medicalodges Great Bend is an health care organization with primary practice located at 1401 Cherry Ln , Great Bend KS 67530-3152. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Medicalodges, Inc. can be contacted via phone (620) 792-2165, or through Hines, Scott via phone (620) 709-0305.

Contact Information

Primary practice address
1401 Cherry Ln Great Bend KS 67530-3152
Phone: (620) 792-2165
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hines, Scott
Phone: (620) 709-0305

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1669967436
LBN Legal business name Medicalodges, Inc.
DBA Doing business as Medicalodges Great Bend
Authorized official Hines, Scott
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 25th, 2018
Last updated Dec 27th, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669967436 NPPES
Kansas MEDICAID 100107470A

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