Healthcare Provider Details

I. General information

NPI: 1144228610
Provider Name (Legal Business Name): LABETTE COUNTY MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2005
Last Update Date: 10/15/2024
Certification Date: 10/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1902 S US HIGHWAY 59
PARSONS KS
67357-4948
US

IV. Provider business mailing address

1902 S HWY 59
PARSONS KS
67357-0956
US

V. Phone/Fax

Practice location:
  • Phone: 620-820-5428
  • Fax:
Mailing address:
  • Phone: 620-820-5428
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273Y00000X
TaxonomyRehabilitation Hospital Unit
License Number
License Number StateKS

VIII. Authorized Official

Name: JANET SOPER
Title or Position: CFO
Credential:
Phone: 620-421-4880