MEDICARE: BARNES-KASSON COUNTY HOSPITAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1007276220027	OTHER	PA	MA ID

General Provider Information

NPI Number	:	1750524369
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BARNES-KASSON COUNTY HOSPITAL

Provider Business Mailing Address
First Line	:	137 DELAWARE STREET
Second Line	:
City	:	NEW MILFORD
State	:	PA
Zip	:	18834-6643
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	137 DELAWARE STREET
Second Line	:
City	:	NEW MILFORD
State	:	PA
Zip	:	18834-6643
Country	:	US
Telephone Number	:	570-853-3135
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF FINANCE
Name	:	MRS. SARA FRANCIS ADORNATO
Credential	:
Telephone Number	:	570-853-3135

Provider Enumeration Date	:	04/13/2009
Last Update Date	:	07/14/2010

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