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SCH170120-05 LABETTE COUNTY MEDICAL CENTER D/B/A LABETTE HEALTH (Active)
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Main Details
Name
LABETTE COUNTY MEDICAL CENTER D/B/A LABETTE HEALTH
Subdivision Name
LCMC D/B/A Labette Health Independence HOPD - Emergency Department
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH170120-05
Medicare Provider Number
170120
Outpatient Facility Provider Number
014021
Additional Details
Current Program Status
Active
Registration Date
4/9/2018
Participating Start Date
7/1/2018
Participating Approval Date
5/24/2018
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
510 N Peter Pan Road Suite A
Independence, KS 67301
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
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