MEDICARE: LABETTE COUNTY MEDICAL CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR1300X	Rural Health Clinic/Center

General Provider Information

NPI Number	:	1801362330
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LABETTE COUNTY MEDICAL CENTER

Provider Business Mailing Address
First Line	:	PO BOX 736
Second Line	:
City	:	PARSONS
State	:	KS
Zip	:	67357-0736
Country	:	US
Telephone Number	:	620-820-5889
Fax Number	:

Provider Business Practice Location Address
First Line	:	209 N 6TH ST STE 103
Second Line	:
City	:	INDEPENDENCE
State	:	KS
Zip	:	67301-3100
Country	:	US
Telephone Number	:	620-577-7285
Fax Number	:

Authorized Official
Title or Position	:	VP/CFO/COO
Name	:	THOMAS L MACARONAS
Credential	:
Telephone Number	:	620-820-5251

Provider Enumeration Date	:	10/23/2018
Last Update Date	:	10/23/2018

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Directions to “LABETTE COUNTY MEDICAL CENTER ” Practice Location

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