NPIMap

Organization Active NPI

Barnes-Kasson County Hospital

Doing business as Family Health Clinic of Barnes Kasson Hospital

  • Rural Health Clinic/Center
  • New Milford, PA
National Provider Identifier
1497996037
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
BARNES-KASSON COUNTY HOSPITAL
Doing business as
Family Health Clinic of Barnes Kasson Hospital
Practice address
433 Church St
New Milford, PA 18834-6603
Phone
(570) 465-7330
NPI assigned
Mar 11, 2009
Last updated
Sep 27, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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

Authorized official

Name
Mrs. Sara Francis Adornato
Title
Ceo
Phone
(570) 853-3135

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Health Service Clinic/Center 261QH0100X
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

433 Church St
New Milford, PA 18834-6603

Mailing address

2872 Turnpike St
Susquehanna, PA 18847-2771
Phone (570) 853-3135

Other practice location 1

137 Delaware St.
New Milford, PA 18834-6643
Phone (570) 853-3135 ext. 224

Other identifiers 1

IdentifierTypeStateIssuer
1007276220032OtherPAMA ID

Other names 1

  • Family Health Clinic of Barnes Kasson Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090828000080 PA Part A Provider - Rural Health Clinic 1355318635 Practice locations: New Milford, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497996037. Details of each certification follow.

Rural health clinic certification: CCN 393413

Legal name
BARNES-KASSON COUNTY HOSPITAL
Doing business as
FAMILY HEALTH CLINIC OF BARNES-KASSON HOSPITAL
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jun 12, 2009
Last certification
Apr 15, 2021
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Feb 4, 1904 in PA
Enrollment address
433 Church St
New Milford, PA 18834-6603
Related CCNs
391309

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

Other NPIs with the same Medicare PAC ID 6

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

National Provider Directory

National Provider Directory
Tax ID family
Barnes Kasson County Hosp14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Donald Button Individual Corporate Director Sep 1, 2021
Sara Adornato Individual Corporate OfficerChief Executive Officer Jul 1, 2024
W-2 Managing EmployeeAdministrator; Chief Executive Offi Feb 23, 2009
Robert Page Individual Corporate Director Oct 2, 2009
Charles Aliano Individual Corporate Director Jul 1, 2011
Daniel L Coster Individual Contracted Managing EmployeeMD; Jul 1, 2025
George Stover Individual Corporate Director Sep 1, 2021
Kelli Kane Individual Corporate OfficerChief Financial Officer Jul 1, 2024
W-2 Managing EmployeeAd;Chief Financial Officer Jul 1, 2024
Patrick Ahearn Individual Corporate Director Jul 1, 2013
Wayne Memorial Health System Inc. Organization, Honesdale, PA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 2024 100%
Joseph White Individual Corporate Director Jul 1, 2020
Rosaria Armetta Individual Corporate Director Jul 1, 2020

Owners & managing parties with NPI records 2

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

Facilities with the same owner 7

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

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1236729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664236800000",
    "number": "1497996037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2872 TURNPIKE ST",
            "city": "SUSQUEHANNA",
            "state": "PA",
            "postal_code": "188472771",
            "telephone_number": "570-853-3135",
            "fax_number": "570-853-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 CHURCH ST",
            "city": "NEW MILFORD",
            "state": "PA",
            "postal_code": "188346603",
            "telephone_number": "570-465-7330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "137 Delaware St.",
            "address_purpose": "LOCATION",
            "city": "New Milford",
            "state": "PA",
            "postal_code": "188346643",
            "country_code": "US",
            "telephone_number": "570-853-3135 x224",
            "fax_number": "570-853-3008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BARNES-KASSON COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-11",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A",
        "authorized_official_last_name": "ADORNATO",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "570-853-3135",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA ID",
            "identifier": "1007276220032",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Health Clinic of Barnes Kasson Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family Health Clinic of Barnes Kasson Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Milford, PA

Sources for this page

Verify at the official NPI Registry.