Provider Demographics
NPI:1144263625
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:MR
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 1:250 W 9TH ST
Mailing Address - Street 2:
Mailing Address - City:HOISINGTON
Mailing Address - State:KS
Mailing Address - Zip Code:67544-1706
Mailing Address - Country:US
Mailing Address - Phone:620-653-2114
Mailing Address - Fax:620-653-2350
Practice Address - Street 1:250 W 9TH ST
Practice Address - Street 2:
Practice Address - City:HOISINGTON
Practice Address - State:KS
Practice Address - Zip Code:67544-1706
Practice Address - Country:US
Practice Address - Phone:620-653-2114
Practice Address - Fax:620-653-2350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-13
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSH005003275N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes275N00000XHospital UnitsMedicare Defined Swing Bed Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS17Z333Medicare Oscar/Certification