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Labette County Medical Center

Organization Active NPI Rural Health Clinic/Center · Altamont, KS

NPI 1861920662 · NPPES record last updated Nov 30, 2023

Key facts

NPI
1861920662
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
Legal business name
LABETTE COUNTY MEDICAL CENTER
Practice address
607 E 4TH St
Altamont, KS 67330-6420
Phone
(620) 784-2312
Fax
(620) 784-2314
NPI assigned
May 24, 2017
Organization subpart
Yes
Parent organization (as reported)
LABETTE COUNTY MEDICAL CENTER

Authorized official

Name
Nick Fleer
Title
Controller
Phone
(620) 820-5251

Owners & managing parties with NPI records 18

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

Owned or controlled facilities with NPI records 13

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

Other NPIs with the same Medicare PAC ID 15

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

Corporate family (same tax ID) 19

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

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

Facilities with the same owner 13

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

Practitioners 75

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 75

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D2123142Labette Health Altamont Clinic
607 E 4TH Street, Altamont, KS 67330		Certificate of waiverDec 12, 2026

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KS

Rural health clinic certification: CCN 178607

Legal name
LABETTE COUNTY MEDICAL CENTER
Doing business as
LABETTE HEALTH ALTAMONT CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Dec 21, 2017
Last certification
Dec 21, 2017
Ownership / control type
Non-profit – church related
Organization structure
Other · Non-profit
Enrollment address
607 E 4TH St
Altamont, KS 67330-6420
Related CCNs
170120

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Marna George
Individual 		Corporate Director
Board Member		 Apr 21, 2003 100%
Delyna R Bohnenblust
Individual 		Corporate Director
Board Member		 Jun 28, 2012 100%
Jill Thomas
Individual 		Corporate Director
Board Member		 Feb 4, 2015 100%
Wayne R Gilmore
Individual 		Corporate Director
Board Member		 Apr 25, 2013 100%
Ned Wall
Individual 		Corporate Director
Board Member		 May 21, 2009 100%
Labette County Medical Center
Organization · Parsons, KS
Non-profit 		5% Or Greater Direct Ownership Interest Jan 3, 2017 100%
Melissa Morris
Individual 		Corporate Director
Board Member		 Apr 25, 2013 100%
Perry Sorrell
Individual 		Corporate Director
Board Member		 Sep 11, 2003 100%
Brian Williams
Individual 		Corporate Officer
Ceo		 Sep 2, 2015 100%
W-2 Managing Employee
Ceo		 Sep 2, 2015 100%
Robert Gibbs
Individual 		Corporate Director
Board Member		 Apr 25, 2013 100%
Thomas L. Macaronas
Individual 		Corporate Officer
Cfo, Coo		 Jul 12, 2004 100%
W-2 Managing Employee
Cfo, Coo		 Jul 12, 2004 100%
Ronald L Leonard
Individual 		Corporate Director
Board Member		 May 21, 2009 100%

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 Health
Parsons, KS · CCN 170120		 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1966
Labette Health
Parsons, KS · CCN 17U120		 Hospital Operational/Managerial Control (5%) Jun 1, 2019
Labette Home Health
Parsons, KS · CCN 177254		 Home health agency 5% Or Greater Direct Ownership Interest (100%) Jul 8, 2005
Labette Health St Paul Clinic
Saint Paul, KS · CCN 173432		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Apr 1, 1995
Labette Health Cherryvale Clinic
Cherryvale, KS · CCN 178570		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jun 3, 2011
Labette Health Family Practice Clinic
Parsons, KS · CCN 178571		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jun 3, 2011
Labette Health Independence Clinic
Independence, KS · CCN 178600		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2015
Labette Health Erie Clinic
Erie, KS · CCN 178608		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Mar 27, 2017
Labette Health Chanute Clinic and Express Care
Chanute, KS · CCN 178619		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2018
Labette Health Women'S and Children'S Clinic
Independence, KS · CCN 178618		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Oct 15, 2018
Labette Health Oswego Clinic and Express Care
Oswego, KS · CCN 178624		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2019
Labette Health Chetopa Clinic
Chetopa, KS · CCN 178623		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Dec 2, 2019
Labette Health Pittsburg Clinic
Pittsburg, KS · CCN 178651		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) May 22, 2023

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20170911001020 KS Part a Provider - Rural Health Clinic 5496664369 Practice locations: Altamont, KS

National Provider Directory

Tax ID family
Labette County Med Center (20 organizations share this tax ID)
Part of
Labette County Med Center

Specialties & licenses

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

Addresses

Primary practice location

607 E 4TH St
Altamont, KS 67330-6420

Mailing address

1902 S Hwy 59 BLDG E
Parsons, KS 67357-4948
Phone (620) 820-5889

Other names

  • Labette Health Altamont Clinic Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 30, 2023.

{
    "created_epoch": "1495584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1861920662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 S HWY 59 BLDG E",
            "city": "PARSONS",
            "state": "KS",
            "postal_code": "673574948",
            "telephone_number": "620-820-5889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 E 4TH ST",
            "city": "ALTAMONT",
            "state": "KS",
            "postal_code": "673306420",
            "telephone_number": "620-784-2312",
            "fax_number": "620-784-2314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABETTE COUNTY MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LABETTE COUNTY MEDICAL CENTER",
        "enumeration_date": "2017-05-24",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A",
        "authorized_official_last_name": "FLEER",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "620-820-5251"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Labette Health Altamont Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Altamont, KS

All providers in Altamont, KS · Rural Health Clinic/Center in Kansas

Sources for this page

Verify at the official NPI Registry.