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General NPI Number Information
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NPI Number | 1386207140
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Entity Type | Organization
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Legal Business Name | LABETTE COUNTY MEDICAL CENTER
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Dates
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Enumeration Date | 04/17/2019
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Last Update Date | 11/30/2023
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Provider Practice Location Address
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Address Line | 515 COMMERCIAL ST
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City | OSWEGO
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State | KS
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Zip | 67356-2019
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Country | US
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Telephone | 620-795-2340
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Fax | 620-795-2341
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Provider Business Mailing Address
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Address Line | PO BOX 736
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City | PARSONS
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State | KS
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Zip | 67357-0736
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Country | US
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Telephone | 620-820-5889
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Fax | 620-820-5821
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Authorized Official
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Title or Position | CFO/VP FINANCE
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Name | THOMAS L MACARONAS
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Credential |
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Telephone | 620-820-5251
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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