Provider Demographics
NPI:1962680256
Name:BARNES-KASSON COUNTY HOSPITAL
Entity Type:Organization
Organization Name:BARNES-KASSON COUNTY HOSPITAL
Other - Org Name:FAMILY HEALTH CLINIC OF BARNES KASSON HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:FRANCIS
Authorized Official - Last Name:ADORNATO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-853-3135
Mailing Address - Street 1:2872 TURNPIKE ST
Mailing Address - Street 2:
Mailing Address - City:SUSQUEHANNA
Mailing Address - State:PA
Mailing Address - Zip Code:18847-2771
Mailing Address - Country:US
Mailing Address - Phone:570-853-3135
Mailing Address - Fax:
Practice Address - Street 1:177 ERIE BLVD
Practice Address - Street 2:
Practice Address - City:SUSQUEHANNA
Practice Address - State:PA
Practice Address - Zip Code:18847-2791
Practice Address - Country:US
Practice Address - Phone:570-853-3135
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-08
Last Update Date:2021-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA393407Medicare Oscar/Certification