NPIMap

Organization Active NPI

Barnes-Kasson County Hospital

Doing business as Family Health Clinic of Barnes Kasson Hospital

  • Rural Health Clinic/Center
  • Susquehanna, PA
National Provider Identifier
1821239385
Registry record updated Jul 14, 2010
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
2872 Turnpike St
Susquehanna, PA 18847-2771
Phone
(570) 853-3135
Fax
(570) 853-3008
NPI assigned
Mar 13, 2009
Last updated
Jul 14, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2010

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

Authorized official

Name
Mrs. Sara Francis Adornato
Title
Director of Finance
Phone
(570) 853-3135

Specialties & licenses 3

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

Addresses

Primary practice location

2872 Turnpike St
Susquehanna, PA 18847-2771

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
1007276220031OtherPAMA 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
O20120323000181 PA Part A Provider - Rural Health Clinic 1355318635 Practice locations: Susquehanna, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821239385. Details of each certification follow.

Rural health clinic certification: CCN 393419

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 1, 2009
Last certification
Apr 16, 2021
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Feb 4, 1904 in PA
Enrollment address
2872 Turnpike Street
Family Health Clinic of Barnes Kasson Hospital
Susquehanna, PA 18847-2771
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

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 DirectorBoard Member Jul 1, 2022
Sara Adornato Individual Corporate OfficerChief Executive Officer Jul 1, 2024
W-2 Managing EmployeeAd; Chief Executive Officer Feb 6, 2012
Robert Page Individual Corporate DirectorBoard Member Feb 11, 2011
Charles Aliano Individual Corporate DirectorBoard Member Feb 11, 2011
Daniel L Coster Individual Contracted Managing EmployeeMD; Jul 1, 2025
George Stover Individual Corporate DirectorBoard Member Jul 1, 2022
Kelli Kane Individual W-2 Managing EmployeeAd;Chief Financial Officer Feb 8, 2008
Patrick Ahearn Individual Corporate OfficerBoard Member Jan 1, 2012 8%
Wayne Memorial Health System Inc. Organization, Honesdale, PA Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 2024 100%
Joseph White Individual Corporate DirectorBoard Member Jul 1, 2020
Rosaria Armetta Individual Corporate DirectorBoard Member 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.

NPI Registry JSON

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

{
    "created_epoch": "1236902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279065600000",
    "number": "1821239385",
    "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": "2872 TURNPIKE ST",
            "city": "SUSQUEHANNA",
            "state": "PA",
            "postal_code": "188472771",
            "telephone_number": "570-853-3135",
            "fax_number": "570-853-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARNES-KASSON COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-13",
        "last_updated": "2010-07-14",
        "status": "A",
        "authorized_official_last_name": "ADORNATO",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "570-853-3135",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA ID",
            "identifier": "1007276220031",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Health Clinic of Barnes Kasson Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Susquehanna, PA

Sources for this page

Verify at the official NPI Registry.