NPIMap

Organization Active NPI

Labette County Medical Center

Doing business as Labette Health Cherryvale Clinic

  • Rural Health Clinic/Center
  • Parsons, KS
National Provider Identifier
1386940625
Registry record updated Apr 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
LABETTE COUNTY MEDICAL CENTER
Doing business as
Labette Health Cherryvale Clinic
Practice address
1902 S Hwy 59
Parsons, KS 67357-4948
Phone
(620) 421-4880
Fax
(620) 820-5274
NPI assigned
Feb 3, 2011
Last updated
Apr 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Thomas L Macaronas
Title
Cfo
Phone
(620) 820-5251

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

1902 S Hwy 59
Parsons, KS 67357-4948

Mailing address

116 N Maple St
Cherryvale, KS 67335-1729
Phone (620) 336-3255

Other names 1

  • Labette Health Cherryvale Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110701000227 KS Part A Provider - Rural Health Clinic 5496664369 Practice locations: Cherryvale, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1386940625. Details of each certification follow.

Rural health clinic certification: CCN 178570

Legal name
LABETTE COUNTY MEDICAL CENTER
Doing business as
LABETTE HEALTH CHERRYVALE CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Sep 7, 2012
Last certification
Sep 7, 2012
Ownership / control type
Non-profit – church related
Organization structure
OtherNon-profit
Enrollment address
116 N Maple St
Cherryvale, KS 67335-1729
Related CCNs
170120

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 15

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 15

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D0450512Labette Health Cherryvale Clinic116 N Maple, Cherryvale, KS 67335Certificate of waiverOct 4, 2027

National Provider Directory

National Provider Directory
Tax ID family
Labette County Med Center20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Labette County Medical Center Organization, Parsons, KS Non-profit 5% Or Greater Direct Ownership Interest Jun 3, 2011 100%
Thomas L. Macaronas Individual Corporate Officer Jul 12, 2004 100%
W-2 Managing Employee Jun 3, 2011

Owners & managing parties with NPI records 15

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 15

All facility ownership & control disclosures 13

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Labette HealthParsons, KS, CCN 170120 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1966
Labette HealthParsons, KS, CCN 17U120 Hospital Operational/Managerial Control (5%) Jun 1, 2019
Labette Home HealthParsons, KS, CCN 177254 Home health agency 5% Or Greater Direct Ownership Interest (100%) Jul 8, 2005
Labette Health St Paul ClinicSaint Paul, KS, CCN 173432 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Apr 1, 1995
Labette Health Family Practice ClinicParsons, KS, CCN 178571 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jun 3, 2011
Labette Health Independence ClinicIndependence, KS, CCN 178600 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2015
Labette Health Erie ClinicErie, KS, CCN 178608 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Mar 27, 2017
Labette Health Altamont ClinicAltamont, KS, CCN 178607 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 3, 2017
Labette Health Chanute Clinic and Express CareChanute, KS, CCN 178619 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2018
Labette Health Women's and Children's ClinicIndependence, KS, CCN 178618 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Oct 15, 2018
Labette Health Oswego Clinic and Express CareOswego, KS, CCN 178624 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2019
Labette Health Chetopa ClinicChetopa, KS, CCN 178623 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Dec 2, 2019
Labette Health Pittsburg ClinicPittsburg, KS, CCN 178651 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) May 22, 2023

Owned or controlled facilities with NPI records 13

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 13

Facilities with the same owner 13

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 13

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1296691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397520000000",
    "number": "1386940625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 N MAPLE ST",
            "city": "CHERRYVALE",
            "state": "KS",
            "postal_code": "673351729",
            "telephone_number": "620-336-3255",
            "fax_number": "620-336-3755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 S HWY 59",
            "city": "PARSONS",
            "state": "KS",
            "postal_code": "673574948",
            "telephone_number": "620-421-4880",
            "fax_number": "620-820-5274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABETTE COUNTY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-03",
        "last_updated": "2014-04-15",
        "status": "A",
        "authorized_official_last_name": "MACARONAS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "620-820-5251"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Labette Health Cherryvale Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Parsons, KS

Sources for this page

Verify at the official NPI Registry.