NPIMap

Organization Active NPI

The Clara Barton Hospital Association Inc Hoisington Kansas

Doing business as Clara Barton Medical Clinic - Russell

  • Family Medicine Physician
  • Russell, KS
National Provider Identifier
1770745382
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
THE CLARA BARTON HOSPITAL ASSOCIATION INC HOISINGTON KANSAS
Doing business as
Clara Barton Medical Clinic - Russell
Russell Family Medical Care
Practice address
410 N Main St
Russell, KS 67665-2759
Phone
(785) 483-3811
Fax
(785) 483-2727
NPI assigned
Jun 26, 2008
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 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 5

IdentifierTypeStateIssuer
100099000FOtherKSUNICARE
200259780AOtherKSUNICARE
200259780AMedicaidKY
100099000FMedicaidKS
460831OtherKSCHILDREN'S MERCY

Other names 2

  • Clara Barton Medical Clinic - Russell Doing business as
  • RUSSELL FAMILY MEDICAL CARE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Clara Barton Hospital Ass4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

410 N Main St
Ste C
Russell, KS 67665

410 N Main St
Russell, KS 67665
Phone (785) 483-3811

Practitioners & affiliated clinicians

Practitioners 1

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": "1214438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1770745382",
    "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": "2008-06-26",
        "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": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNICARE",
            "identifier": "100099000F",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNICARE",
            "identifier": "200259780A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200259780A",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100099000F",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHILDREN'S MERCY",
            "identifier": "460831",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clara Barton Medical Clinic - Russell",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RUSSELL FAMILY MEDICAL CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Russell, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.