=====================================================
General NPI Number Information
=====================================================
NPI Number | 1497996037
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BARNES-KASSON COUNTY HOSPITAL
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/11/2009
-----------------------------------------------------
Last Update Date | 09/27/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 433 CHURCH ST
-----------------------------------------------------
City | NEW MILFORD
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 18834-6603
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 570-465-7330
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2872 TURNPIKE ST
-----------------------------------------------------
City | SUSQUEHANNA
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 18847-2771
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 570-853-3135
-----------------------------------------------------
Fax | 570-853-3008
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | MRS. SARA FRANCIS ADORNATO
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 570-853-3135
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261Q00000X
-----------------------------------------------------
Taxonomy Name | Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 261QH0100X
-----------------------------------------------------
Taxonomy Name | Health Service Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 261QR1300X
-----------------------------------------------------
Taxonomy Name | Rural Health Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------