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NPI 1114964111

NPI 1114964111 : THE CLARA BARTON HOSPITAL ASSOCIATION, INC. HOISINGTON KANSAS : HOISINGTON, KS

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General NPI Number Information
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    NPI Number           |    1114964111
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    Entity Type          |    Organization 
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    Legal Business Name  |    THE CLARA BARTON HOSPITAL ASSOCIATION, INC. HOISINGTON KANSAS 
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Dates
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    Enumeration Date     |    05/31/2006
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    Last Update Date     |    10/31/2023
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Provider Practice Location Address
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    Address Line         |    250 W 9TH ST 
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    City                 |    HOISINGTON
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    State                |    KS
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    Zip                  |    67544-1706
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    Country              |    US
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    Telephone            |    620-653-2114
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    Fax                  |    620-653-2350
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Provider Business Mailing Address
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    Address Line         |    250 W 9TH ST 
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    City                 |    HOISINGTON
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    State                |    KS
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    Zip                  |    67544-1706
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    Country              |    US
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    Telephone            |    620-653-2114
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    Fax                  |    620-653-2350
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Authorized Official
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    Title or Position    |    PRESIDENT & CEO
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    Name                 |    MR. JAMES D TUSTEN 
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    Credential           |    
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    Telephone            |    620-653-2114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    282NC0060X
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    Taxonomy Name        |    Critical Access Hospital
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    License Number       |    H005003
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    License Number State |    KS
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