Healthcare Provider Details

I. General information

NPI: 1720573918
Provider Name (Legal Business Name): BARNES-KASSON COUNTY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2018
Last Update Date: 04/05/2023
Certification Date: 04/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25059 STATE ROUTE 11
HALLSTEAD PA
18822-8831
US

IV. Provider business mailing address

2872 TURNPIKE ST
SUSQUEHANNA PA
18847-2771
US

V. Phone/Fax

Practice location:
  • Phone: 570-853-3135
  • Fax: 570-853-3008
Mailing address:
  • Phone: 570-853-3135
  • Fax: 570-853-3008

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SARA FRANCIS ADORNATO
Title or Position: CEO
Credential:
Phone: 570-853-3135