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Organization Active NPI

The Clara Barton Hospital Association Inc Hoisington Kansas

  • Rural Health Clinic/Center
  • Russell, KS
National Provider Identifier
1366489817
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
THE CLARA BARTON HOSPITAL ASSOCIATION INC HOISINGTON KANSAS
Practice address
410 N Main St
Russell, KS 67665-2759
Phone
(785) 483-3811
Fax
(785) 483-2727
NPI assigned
Jun 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
James Tusten
Title
President & Ceo
Phone
(620) 653-2114

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

410 N Main St
Russell, KS 67665-2759

Mailing address

250 W 9TH St
Hoisington, KS 67544-1706
Phone (620) 653-5067

Other identifiers 1

IdentifierTypeStateIssuer
30003913800006MedicaidKS

Other names 1

  • Clara Barton Medical Care - Russell Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031104000166 KS Part A Provider - Rural Health Clinic 6709798622 Practice locations: Russell, KS
O20040120001002 KS Part B Supplier - Clinic/Group Practice 6709798622 Receives reassigned benefits from 54 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Great Bend, KS; Hoisington, KS; Larned, KS; Russell, KS

Rural health clinic certification: CCN 178519

Legal name
THE CLARA BARTON HOSPITAL ASSOCIATION INC HOISINGTON KANSAS
Doing business as
CLARA BARTON MEDICAL CLINIC - RUSSELL
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Apr 19, 2004
Last certification
Dec 10, 2021
Ownership / control type
2C
Organization structure
CorporationNon-profit
Incorporated
Nov 19, 1946 in KS
Enrollment address
410 N Main St
Russell, KS 67665-2759
Related CCNs
171333

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Michael Anthony Harmon Individual Corporate DirectorBoard Member Jan 1, 2023 10%
Kathleen Burt Individual Corporate DirectorBoard Secretary Jan 1, 2022 10%
Eric Jay Schoendaler Individual Corporate DirectorBoard Member Jan 1, 2023 10%
Gary Shook Individual Corporate DirectorBoard Member Jan 1, 2019 10%
Kathleen Renee Kaiser Individual Corporate DirectorBoard Member Jan 25, 2016 10%
Karisa Jo Cowan Individual Corporate DirectorBoard Vice Chairman Sep 1, 2021 10%
Cheri Moeder Individual W-2 Managing Employee Feb 13, 2017
Timothy S Webb Individual Corporate OfficerChief of Medical Staff Mar 1, 2024 10%
The Clara Barton Hospital Association Inc Hoisington Kansas Organization, Hoisington, KS Created for acquisition, Corporation 5% Or Greater Direct Ownership Interest Apr 19, 2004 100%
Operational/Managerial Control Apr 19, 2004 100%
Lois a. McLeland Individual Corporate DirectorBoard Treasurer Sep 1, 2021 10%
Amanda Hoffman Individual Corporate OfficerChief Operating Officer Sep 1, 2020
W-2 Managing EmployeeDirector of Pharmacy Jun 18, 2018
James D Tusten Individual Corporate OfficerChief Executive Officer Aug 21, 2023 10%
W-2 Managing EmployeePresident Aug 21, 2023
Melissa B. Nech Individual Corporate DirectorBoard Member Jan 1, 2022 10%

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Clara Barton HospitalHoisington, KS, CCN 171333 Hospital Operational/Managerial Control (100%) Jun 16, 1997
Clara Barton HospitalHoisington, KS, CCN 17Z333 Hospital 5% Or Greater Direct Ownership Interest (100%) Mar 29, 2001
Clara Barton Medical ClinicHoisington, KS, CCN 173466 Rural health clinic Operational/Managerial Control (100%) Jun 16, 1997
Clara Barton Medical Clinic - Great BendGreat Bend, KS, CCN 178591 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1366489817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W 9TH ST",
            "city": "HOISINGTON",
            "state": "KS",
            "postal_code": "675441706",
            "telephone_number": "620-653-5067",
            "fax_number": "620-653-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N MAIN ST",
            "city": "RUSSELL",
            "state": "KS",
            "postal_code": "676652759",
            "telephone_number": "785-483-3811",
            "fax_number": "785-483-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CLARA BARTON HOSPITAL ASSOCIATION INC HOISINGTON KANSAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A",
        "authorized_official_last_name": "TUSTEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "620-653-2114"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30003913800006",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clara Barton Medical Care - Russell",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Russell, KS

Sources for this page

Verify at the official NPI Registry.