# LABETTE COUNTY MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LABETTE COUNTY MEDICAL CENTER
- **Other names:** Labette Health Independence Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1154787190
- **Legal business name:** LABETTE COUNTY MEDICAL CENTER
- **Authorized official:** MR. THOMAS L MACARONAS (CFO/COO)
- **Authorized official phone:** (620) 820-5251

## Contact information

- **Practice address:** 510 PETER PAN RD STE B, INDEPENDENCE, KS 67301-7300
- **Practice address phone:** (620) 577-4310
- **Mailing address:** PO BOX 736, PARSONS, KS 67357
- **Mailing address phone:** (620) 577-4310
- **Mailing address fax:** (620) 577-4312

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/06/2016
- **Last updated:** 09/21/2023