MEDICALODGES, INC. (NPI# 1437247053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437247053 |
| Entity Type | Organization |
| Organization Name | MEDICALODGES, INC. |
| Other Organization Name | MEDICALODGES BUTLER |
| Practice Address |
103 E Nursery St Butler MO 64730-2331 |
| Practice Telephone | 6606793179 |
| Practice Fax Number | 6606796524 |
| Mailing Telephone | 6606793179 |
| Mailing Fax Number | 6606796524 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2011-11-01 |
| Authorized Official Name | MR. SCOTT L HINES (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 6207090305 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 025264 | MO | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 101450500 | 05 |
| Other Name | Type Code |
|---|---|
| Medicalodges Butler | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902209703 | Medicalodges, Inc. | Skilled Nursing Facility | 511 N Western Ave, Girard, KS 66743-1152 | 2014-10-07 |
| 1437410651 | Medicalodges, Inc. | Assisted Living Facility | 1004 E Centennial Dr, Pittsburg, KS 66762-6565 | 2012-06-05 |
| 1316017544 | Medicalodges, Inc. | Home Health | 420 W Lyon Dr, Neosho, MO 64850-9194 | 2006-11-08 |
| 1578633715 | Medicalodges, Inc. | Clinic/Center | 411 S Summit St, Arkansas City, KS 67005-2850 | 2006-11-08 |
| 1336228394 | Medicalodges, Inc. | Home Health | 1625 E 42nd St, Texarkana, AR 71854-1654 | 2006-11-02 |
| 1255417614 | Medicalodges, Inc. | Skilled Nursing Facility | 201 W 8th St, Coffeyville, KS 67337-5807 | 2006-10-28 |
| 1083799613 | Medicalodges, Inc. | Case Management | 821 W 3rd St, Valley Center, KS 67147-2417 | 2006-10-25 |
| 1437233855 | Medicalodges, Inc. | Skilled Nursing Facility | 2 E Ash St, Herington, KS 67449-1662 | 2006-10-24 |
| 1689755522 | Medicalodges, Inc. | Home Health | 400 Fir St, Neodesha, KS 66757-1298 | 2006-10-18 |
| 1568543346 | Medicalodges, Inc. | Clinic/Center | 1607 4th St, Wamego, KS 66547-1915 | 2006-10-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MEDICALODGES, INC. | 201 W 8th St, Coffeyville, KS 67337-5807 |
| Oklahoma Business Registrations | MEDICALODGES, INC. | P O Box 509, Coffeyville, KS 67337 |
| Street Address |
103 E NURSERY ST |
| City | BUTLER |
| State | MO |
| Zip Code | 64730-2331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043474422 | April M Wright | Physical Therapist | 103 E Nursery St, Butler, MO 64730-2331 | 2008-07-15 |
| 1427223080 | Angela Johnson | Occupational Therapy Assistant | 103 E Nursery St, Butler, MO 64730-2331 | 2008-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003128596 | Marilyn Gay Gaddy | Registered Nurse | 205 E Dakota, Butler, MO 64730 | 2010-07-13 |
| 1598962581 | John Phillip Bustle | Family Medicine | 615 W Nursery, Butler, MO 64730 | 2007-07-02 |
| 1003914482 | Corry Robert Lanyon | Dentist | 1018 West Fort Scott, Butler, MO 64730 | 2006-09-20 |
| 1053426221 | Ronald Leslie Bashor | Dentist | 619 W Nursery, Bates County Dental Center, Butler, MO 64730 | 2006-08-20 |
| 1194778225 | John Leslie Noe | Optometrist | 204 West Chestnut, Butler, MO 64730 | 2006-05-18 |
| 1295711109 | Michael J Gardner | Psychologist | 805 N Orange St, Butler, MO 64730 | 2005-12-22 |
| 1184189557 | Skyler M Davenport | Specialist/Technologist | 420 S Fulton St, Butler, MO 64730 | 2019-02-09 |
| 1962982413 | Meagan Guerreiro | Counselor | 805 N Orange St, Butler, MO 64730 | 2018-08-15 |
| 1851830384 | Breezy Operations LLC | Skilled Nursing Facility | 416 S High St, Butler, MO 64730 | 2017-02-16 |
| 1487986048 | Jessica Anne Allison | Counselor | 805 N Orange St, Butler, MO 64730 | 2010-02-08 |
| Find all providers in zip 64730 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255880530 | Angela Hoffman | Skilled Nursing Facility | 206 Simon Dr, Butler, PA 16002-9153 | 2016-09-27 |
| 1285848259 | Janell Kawka | Skilled Nursing Facility | C31 Forest Hts, Butler, PA 16001-3983 | 2007-05-09 |
| 1487743266 | County of Butler | Skilled Nursing Facility | 107 Sunnyview Cir, Butler, PA 16001-3599 | 2006-10-12 |
| 1235171174 | Taylor County Health Care LLC | Skilled Nursing Facility | 165 S Broad St, Butler, GA 31006-5526 | 2006-06-12 |
| 1891736690 | Heartland-willow Lane of Butler Mo LLC | Skilled Nursing Facility | 416 S High St, Butler, MO 64730-1827 | 2006-06-10 |
| 1285626150 | Delta Health Group Inc | Skilled Nursing Facility | 1406 E Pushmataha St, Butler, AL 36904-2728 | 2005-08-17 |
| 1164422945 | Butler Rest Home, Inc | Skilled Nursing Facility | 305 Taylor Ln, Butler, KY 41006-8550 | 2005-07-22 |
| 1366083073 | Butler Health and Rehab LLC | Skilled Nursing Facility | 1406 E Pushmataha St, Butler, AL 36904-2728 | 2019-10-03 |
| 1942711304 | Blue Ridge Healthcare Willow Trace LLC | Skilled Nursing Facility | 1406 E Pushmataha St, Butler, AL 36904-2728 | 2017-10-12 |
| 1851830384 | Breezy Operations LLC | Skilled Nursing Facility | 416 S High St, Butler, MO 64730 | 2017-02-16 |
| Find all providers in BUTLER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.