| Labette County Medical Center | |
|
209 N 6th St Ste 103 Independence KS 67301-3100 | |
| (620) 577-7285 | |
| Not Available |
| Full Name | Labette County Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 209 N 6th St Ste 103, Independence, Kansas |
| Authorized Official Name and Position | Thomas L Macaronas (VP/CFO/COO) |
| Authorized Official Contact | 6208205251 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Labette County Medical Center Po Box 736 Parsons KS 67357-0736 Ph: (620) 820-5889 | Labette County Medical Center 209 N 6th St Ste 103 Independence KS 67301-3100 Ph: (620) 577-7285 |
| NPI Number | 1801362330 |
|---|---|
| Provider Enumeration Date | 10/23/2018 |
| Last Update Date | 10/23/2018 |
| Medicare PECOS PAC ID | 5496664369 |
|---|---|
| Medicare Enrollment ID | O20181107001165 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801362330 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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