Provider Demographics
NPI:1861920662
Name:LABETTE COUNTY MEDICAL CENTER
Entity type:Organization
Organization Name:LABETTE COUNTY MEDICAL CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:NICK
Authorized Official - Middle Name:
Authorized Official - Last Name:FLEER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-820-5251
Mailing Address - Street 1:1902 S HWY 59 BLDG E
Mailing Address - Street 2:
Mailing Address - City:PARSONS
Mailing Address - State:KS
Mailing Address - Zip Code:67357-4948
Mailing Address - Country:US
Mailing Address - Phone:620-820-5889
Mailing Address - Fax:
Practice Address - Street 1:607 E 4TH ST
Practice Address - Street 2:
Practice Address - City:ALTAMONT
Practice Address - State:KS
Practice Address - Zip Code:67330-6420
Practice Address - Country:US
Practice Address - Phone:620-784-2312
Practice Address - Fax:620-784-2314
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LABETTE COUNTY MEDICAL CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-05-24
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health