Provider Demographics
NPI:1114964111
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:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:D
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:2006-05-31
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSH005003282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS30003913800004Medicaid
KS001608OtherBCBS SWING BED
KS30003913800008Medicaid
KSCB3501OtherRAILROAD MEDICARE
KS000112OtherBCBS PROVIDER NUMBER
KS016491OtherBSBS MD
KS100099000AMedicaid
KS010267OtherBCBS DME
KS100099000AMedicaid