Gran Villas Kansas City

LBN: Medicalodges, Inc.
Gran Villas Kansas City is an health care organization with primary practice located at 2111 E Washington St , Fredonia KS 66736-1757. The organization recently has 4 registered licenses in different health care specialties including Agencies / Home Health, Ambulatory Health Care Facilities / Adult Day Care, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Customized Equipment. Ambulatory Health Care Facilities / Adult Day Care is the primary health care specialty. Medicalodges, Inc. can be contacted via phone (620) 378-2329, or through Fisher, Cathy W via phone (620) 251-6700.

Contact Information

Primary practice address
2111 E Washington St Fredonia KS 66736-1757
Phone: (620) 378-2329
Fax: (620) 378-2792
Website:
Map and Directions
Authorized official contact:
Name: Fisher, Cathy W
Phone: (620) 251-6700

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X N103004 Kansas
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X N103004 Kansas
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X N103004 Kansas
Suppliers / Customized Equipment 332BC3200X N103004 Kansas

Profile Details

NPI number 1407937352
LBN Legal business name Medicalodges, Inc.
DBA Doing business as Gran Villas Kansas City
Authorized official Fisher, Cathy W
Entity Organization
Organization subpart 1 No
Enumeration date Oct 18th, 2006
Last updated Jun 23rd, 2008 - about 16 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 1407937352 NPPES
Kansas MEDICAID 100026530W
Kansas MEDICAID 100068170C

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