Gran Villas Clinton

LBN: Medicalodges, Inc.
Gran Villas Clinton is an health care organization with primary practice located at 509 W Rogers St , Clinton MO 64735-2548. The organization recently has 2 registered licenses in different health care specialties including Agencies / Home Health, Ambulatory Health Care Facilities / Adult Day Care. Ambulatory Health Care Facilities / Adult Day Care is the primary health care specialty. Medicalodges, Inc. can be contacted via phone (660) 885-9770, or through Fisher, Cathy W via phone (620) 251-6700.

Contact Information

Primary practice address
509 W Rogers St Clinton MO 64735-2548
Phone: (660) 885-9770
Fax: (660) 885-9844
Website:
Map and Directions
Authorized official contact:
Name: Fisher, Cathy W
Phone: (620) 251-6700

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 032347 Missouri
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X 032347 Missouri

Profile Details

NPI number 1609957414
LBN Legal business name Medicalodges, Inc.
DBA Doing business as Gran Villas Clinton
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 1609957414 NPPES
Missouri MEDICAID 032347

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