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General NPI Number Information
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NPI Number | 1144263625
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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 | 06/13/2006
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Last Update Date | 01/04/2024
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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 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 | 275N00000X
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Taxonomy Name | Medicare Defined Swing Bed Hospital Unit
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License Number | H005003
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License Number State | KS
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