Healthcare Provider Details

I. General information

NPI: 1386207140
Provider Name (Legal Business Name): LABETTE COUNTY MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2019
Last Update Date: 11/30/2023
Certification Date: 11/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 COMMERCIAL ST
OSWEGO KS
67356-2019
US

IV. Provider business mailing address

PO BOX 736
PARSONS KS
67357-0736
US

V. Phone/Fax

Practice location:
  • Phone: 620-795-2340
  • Fax: 620-795-2341
Mailing address:
  • Phone: 620-820-5889
  • Fax: 620-820-5821

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: THOMAS L MACARONAS
Title or Position: CFO/VP FINANCE
Credential:
Phone: 620-820-5251