| Labette Health Independence Clinic | |
|
510 Peter Pan Rd Ste B Independence KS 67301-7300 | |
| (620) 577-4310 | |
| Not Available |
| Full Name | Labette Health Independence Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 510 Peter Pan Rd Ste B, Independence, Kansas |
| Authorized Official Name and Position | Thomas L Macaronas (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 Health Independence Clinic Po Box 736 Parsons KS 67357 Ph: (620) 577-4310 | Labette Health Independence Clinic 510 Peter Pan Rd Ste B Independence KS 67301-7300 Ph: (620) 577-4310 |
| NPI Number | 1154787190 |
|---|---|
| Provider Enumeration Date | 01/06/2016 |
| Last Update Date | 09/21/2023 |
| Medicare PECOS PAC ID | 5496664369 |
|---|---|
| Medicare Enrollment ID | O20160127002110 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154787190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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