Covered Entity Details

SCH170120-12 LABETTE COUNTY MEDICAL CENTER D/B/A LABETTE HEALTH (Active) - information as of 4/29/2025 1:43:19 AM

Main Details

Name

LABETTE COUNTY MEDICAL CENTER D/B/A LABETTE HEALTH

Subdivision Name

Labette Health Oswego Clinic and Express Care - Rural Health Clinic and Express Care

Type

Sole Community Hospital

Rural

Yes

340B ID

SCH170120-12

Medicare Provider Number

170120

Outpatient Facility Provider Number

178624

Additional Details

Current Program Status

Active

Registration Date

4/7/2020

Participating Start Date

4/14/2020

Participating Approval Date

4/10/2020

Last Recertification Date

8/13/2024

Contacts

Authorizing Official

Labette Health
Janet Soper, Chief Financial Officer
(620) 421-4880 Ext: 5254

Primary Contact

Labette Health
Tracy Louise Gilmore, 340B Specialist
(620) 820-5979

Addresses

Street Address

515 Commercial
Oswego, KS 67356

Billing Address

Labette County Medical Center d/b/a Labette Health
1902 S US Hwy 59
Parsons, KS 67357

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History

Comments

Comment	Last Updated On
No records to display.

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
No

Shipping Addresses

Shipping Address 1

abette County Medical Center d/b/a Labette Health
1902 S US Hwy 59
Parsons, KS 67357

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Carve-In Effective Date	Termination Date	Last Updated On
No records to display.

Parent/Child

340B ID	Hierarchy	Entity Type	Name	Sub Name	Address	City	State	340B Status
SCH170120-01	Child	SCH	LABETTE COUNTY MEDICAL CENTER D/B/A LABETTE HEALTH	St. Paul Clinic	200 Carroll St	St Paul	KS	Active
SCH170120-02	Child	SCH	LABETTE COUNTY MEDICAL CENTER D/B/A LABETTE HEALTH	Cherryvale Clinic RHC	116 N Maple St	Cherryvale	KS	Active
SCH170120-03	Child	SCH	LABETTE COUNTY MEDICAL CENTER D/B/A LABETTE HEALTH	Family Practice Clinic RHC	1902 US Hwy 59 Bldg E Suite 101	Parsons	KS	Active
SCH170120-04	Child	SCH	LABETTE COUNTY MEDICAL CENTER D/B/A LABETTE HEALTH	Independence RHC	510 N Peter Pan Rd	Independence	KS	Active
SCH170120-05	Child	SCH	LABETTE COUNTY MEDICAL CENTER D/B/A LABETTE HEALTH	LCMC D/B/A Labette Health Independence HOPD - Emergency Department	510 N Peter Pan Road Suite A	Independence	KS	Active
SCH170120-06	Child	SCH	LABETTE COUNTY MEDICAL CENTER D/B/A LABETTE HEALTH	Labette Health Altamont Clinic - RHC	607 E 4th	Altamont	KS	Active
SCH170120-07	Child	SCH	LABETTE COUNTY MEDICAL CENTER D/B/A LABETTE HEALTH	Labette Health Erie Clinic - RHC	324 S Main	Erie	KS	Active
SCH170120-08	Child	SCH	LABETTE COUNTY MEDICAL CENTER D/B/A LABETTE HEALTH	Labette Health Women's and Children's Clinic - Rural Health Clinic	209 N 6th Street STE 103	Independence	KS	Active
SCH170120-09	Child	SCH	LABETTE COUNTY MEDICAL CENTER D/B/A LABETTE HEALTH	Labette Health Chanute Clinic and Express Care - Rural Health Clinic	2613 S Santa Fe Ave	Chanute	KS	Active
SCH170120-10	Child	SCH	LABETTE COUNTY MEDICAL CENTER D/B/A LABETTE HEALTH	LABETTE COUNTY MEDICAL CENTER - Advanced OB/GYN Associates of SEK	1902 S. US Hwy 59, Bldg. E, Suite 301	Parsons	KS	Active
SCH170120-11	Child	SCH	LABETTE COUNTY MEDICAL CENTER D/B/A LABETTE HEALTH	Labette Health - RHC IM/PEDS	1902 S US HWY 59, Building E, Suite 204	Parsons	KS	Active
SCH170120-12	Child	SCH	LABETTE COUNTY MEDICAL CENTER D/B/A LABETTE HEALTH	Labette Health Oswego Clinic and Express Care - Rural Health Clinic and Express Care	515 Commercial	Oswego	KS	Active
SCH170120-13	Child	SCH	LABETTE COUNTY MEDICAL CENTER D/B/A LABETTE HEALTH	Labette Health Chetopa Clinic - Rural Health Clinic	613 Maple Street	Chetopa	KS	Active

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification	8/21/2023 12:14:05 PM	8/13/2024 8:34:47 AM	8/13/2024 8:34 AM
Contacts	Authorizing Official	Update	AO Change Request	MACARONAS, TOM CFO Labette Health 6208205251	Soper, Janet Chief Financial Officer Labette Health 6204214880-5254	9/11/2023 3:42 PM
Details	Last Recertification Date	Update	Recertification	8/30/2022 9:17:26 AM	8/21/2023 12:14:05 PM	8/21/2023 12:14 PM
Addresses	Billing Address	Update	Change Request	Labette County Medical Center d/b/a Labette Health 1902 S US Hwy 59 Building C Parsons, KS 67357	Labette County Medical Center d/b/a Labette Health 1902 S US Hwy 59 Parsons, KS 67357	4/5/2023 2:41 PM
Addresses	Shipping Address	Update	Change Request	abette County Medical Center d/b/a Labette Health 1902 S US Hwy 59 Building C Parsons, KS 67357	abette County Medical Center d/b/a Labette Health 1902 S US Hwy 59 Parsons, KS 67357	4/5/2023 2:41 PM
Addresses	Shipping Address	Insert	Change Request		abette County Medical Center d/b/a Labette Health 1902 S US Hwy 59 Building C Parsons, KS 67357	3/9/2023 11:43 AM
Addresses	Main Address	Update	Change Request	608 Commercial Oswego, KS 67356	515 Commercial Oswego, KS 67356	11/21/2022 11:15 AM
Addresses	Shipping Address	Delete	Recertification	Labette County Medical Center d/b/a Labette Health 1902 S US Hwy 59 Building C Parsons, KS 67357		8/30/2022 9:17 AM
Details	Last Recertification Date	Update	Recertification	8/24/2021 9:25:27 AM	8/30/2022 9:17:26 AM	8/30/2022 9:17 AM
Details	Last Recertification Date	Update	Recertification	8/19/2020 7:03:27 AM	8/24/2021 9:25:27 AM	8/24/2021 9:25 AM
Addresses	Billing Address	Update	Change Request	Labette County Medical Center d/b/a Labette Health 1902 S US Hwy 59 Parsons, KS 67357	Labette County Medical Center d/b/a Labette Health 1902 S US Hwy 59 Building C Parsons, KS 67357	8/13/2021 10:11 AM
Addresses	Shipping Address	Update	Change Request	Labette County Medical Center d/b/a Labette Health 1902 S US Hwy 59 Parsons, KS 67357	Labette County Medical Center d/b/a Labette Health 1902 S US Hwy 59 Building C Parsons, KS 67357	8/13/2021 10:11 AM
Details	Last Recertification Date	Update	Recertification		8/19/2020 7:03:27 AM	8/19/2020 7:03 AM
Details	State	Update	OPA Edit	Approved	Active	4/14/2020 3:33 PM
Dates	Start Date	Update	OPA Edit	7/1/2020 12:00:00 AM	4/14/2020 12:00:00 AM	4/14/2020 3:33 PM
Contacts	Signed By	Insert	New Registration		MACARONAS, TOM CFO Labette Health 6208205251	4/10/2020 4:00 PM
Details	340B ID	Update	New Registration		SCH170120-12	4/10/2020 4:00 PM
Details	Entity Name	Update	New Registration	LABETTE COUNTY MEDICAL CENTER	LABETTE COUNTY MEDICAL CENTER D/B/A LABETTE HEALTH	4/10/2020 4:00 PM
Details	Entity Subname	Update	New Registration	Labette Health Oswego Clinic and Express Care	Labette Health Oswego Clinic and Express Care - Rural Health Clinic and Express Care	4/10/2020 4:00 PM
Dates	Participating Approval Date	Update	New Registration		4/10/2020 4:00:07 PM	4/10/2020 4:00 PM
Details	State	Update	New Registration	Pending	Approved	4/10/2020 4:00 PM
Dates	Signed By Date	Update	New Registration		4/10/2020 9:46:43 AM	4/10/2020 4:00 PM
Dates	Start Date	Update	New Registration		7/1/2020 12:00:00 AM	4/10/2020 4:00 PM
Addresses	Main Address	Insert	New Registration		608 Commercial Oswego, KS 67356	4/7/2020 10:40 AM
Addresses	Billing Address	Insert	New Registration		Labette County Medical Center d/b/a Labette Health 1902 S US Hwy 59 Parsons, KS 67357	4/7/2020 10:40 AM
Addresses	Shipping Address	Insert	New Registration		Labette County Medical Center d/b/a Labette Health 1902 S US Hwy 59 Parsons, KS 67357	4/7/2020 10:40 AM
Contacts	Authorizing Official	Insert	New Registration		MACARONAS, TOM CFO Labette Health 6208205251	4/7/2020 10:40 AM
Contacts	Primary Contact	Insert	New Registration		Gilmore, Tracy Louise 340B Specialist Labette Health 6208205979	4/7/2020 10:40 AM
Details	Last Recertification Date	Insert	New Registration			4/7/2020 10:40 AM
Details	Grant Number	Insert	New Registration			4/7/2020 10:40 AM
Details	340B ID	Insert	New Registration			4/7/2020 10:40 AM
Details	Is Authorizing Official EHB Data	Insert	New Registration			4/7/2020 10:40 AM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			4/7/2020 10:40 AM
Details	Medicare Provider Number	Insert	New Registration		170120	4/7/2020 10:40 AM
Details	Entity Name	Insert	New Registration		LABETTE COUNTY MEDICAL CENTER	4/7/2020 10:40 AM
Details	Program Code	Insert	New Registration		SCH	4/7/2020 10:40 AM
Details	Entity Subname	Insert	New Registration		Labette Health Oswego Clinic and Express Care	4/7/2020 10:40 AM
Dates	Participating Approval Date	Insert	New Registration			4/7/2020 10:40 AM
Details	State	Insert	New Registration		Pending	4/7/2020 10:40 AM
Dates	Registration Date	Insert	New Registration		4/7/2020 10:40:55 AM	4/7/2020 10:40 AM
Dates	Signed By Date	Insert	New Registration			4/7/2020 10:40 AM
Dates	Start Date	Insert	New Registration			4/7/2020 10:40 AM
Terminations	Termination Comments	Insert	New Registration			4/7/2020 10:40 AM
Terminations	Termination Date	Insert	New Registration			4/7/2020 10:40 AM
Terminations	Termination Effective Date	Insert	New Registration			4/7/2020 10:40 AM
Terminations	Termination Reason	Insert	New Registration			4/7/2020 10:40 AM