Provider Demographics
NPI:1740327006
Name:LABETTE COUNTY MEDICAL CENTER
Entity type:Organization
Organization Name:LABETTE COUNTY MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:MAHONEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-421-4880
Mailing Address - Street 1:1902 S HWY 59
Mailing Address - Street 2:BUILDING A STE 6
Mailing Address - City:PARSONS
Mailing Address - State:KS
Mailing Address - Zip Code:67357
Mailing Address - Country:US
Mailing Address - Phone:620-421-2460
Mailing Address - Fax:620-421-2462
Practice Address - Street 1:1902 S HWY 59
Practice Address - Street 2:BUILDING A STE 6
Practice Address - City:PARSONS
Practice Address - State:KS
Practice Address - Zip Code:67357
Practice Address - Country:US
Practice Address - Phone:620-421-2460
Practice Address - Fax:620-421-2462
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty