Provider Demographics
NPI:1316109929
Name:THE CLARA BARTON HOSPITAL ASSOCIATION INC HOISINGTON KANSAS
Entity type:Organization
Organization Name:THE CLARA BARTON HOSPITAL ASSOCIATION INC HOISINGTON KANSAS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:TUSTEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-653-2114
Mailing Address - Street 1:252 W 9TH ST STE A
Mailing Address - Street 2:
Mailing Address - City:HOISINGTON
Mailing Address - State:KS
Mailing Address - Zip Code:67544-1700
Mailing Address - Country:US
Mailing Address - Phone:620-653-2386
Mailing Address - Fax:620-653-4186
Practice Address - Street 1:252 W 9TH ST STE A
Practice Address - Street 2:
Practice Address - City:HOISINGTON
Practice Address - State:KS
Practice Address - Zip Code:67544-1700
Practice Address - Country:US
Practice Address - Phone:620-653-2386
Practice Address - Fax:620-653-4186
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-26
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS30003913800007Medicaid
KS30003913800003Medicaid
KS460219OtherCHILDRENS MERCH
KS10009000EMedicaid
KS460219OtherCHILDRENS MERCH
KS10009000EMedicaid
KS460219OtherCHILDRENS MERCH