Provider Demographics
NPI:1679627012
Name:LABETTE COUNTY HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:LABETTE COUNTY HEALTH DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:S
Authorized Official - Last Name:BAUGHER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:620-421-4350
Mailing Address - Street 1:PO BOX 786
Mailing Address - Street 2:
Mailing Address - City:PARSONS
Mailing Address - State:KS
Mailing Address - Zip Code:67357-0786
Mailing Address - Country:US
Mailing Address - Phone:620-421-4350
Mailing Address - Fax:620-421-2324
Practice Address - Street 1:1902 S. HWY 59 BLDG C
Practice Address - Street 2:
Practice Address - City:PARSONS
Practice Address - State:KS
Practice Address - Zip Code:67357
Practice Address - Country:US
Practice Address - Phone:620-421-4350
Practice Address - Fax:620-421-2324
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-23
Last Update Date:2008-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS012756OtherMEDICARE
KS460036Medicaid