NPIMap

Organization Active NPI

Barnes-Kasson County Hospital

  • Rural Health Clinic/Center
  • Susquehanna, PA
National Provider Identifier
1962680256
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
BARNES-KASSON COUNTY HOSPITAL
Practice address
177 Erie Blvd
Susquehanna, PA 18847-2791
Phone
(570) 853-3135
NPI assigned
Feb 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2021

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

Authorized official

Name
Sara Francis Adornato
Title
Executive Director
Phone
(570) 853-3135

Specialties & licenses 1

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

Addresses

Primary practice location

177 Erie Blvd
Susquehanna, PA 18847-2791

Mailing address

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

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
O20070404000618 PA Part A Provider - Rural Health Clinic 1355318635 Practice locations: Susquehanna, PA

Rural health clinic certification: CCN 393407

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
Jul 1, 2007
Last certification
Dec 6, 2022
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Feb 6, 1904 in PA
Enrollment address
177 Erie Blvd
Susquehanna, PA 18847-2791
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).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2272851Barnes-Kasson County Hospital177 Erie Blvd, Susquehanna, PA 18847Certificate of waiverNov 30, 2026

National Provider Directory

National Provider Directory

Locations

401 Broad Ave
Susquehanna, PA 18847
Phone (570) 853-3995

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 EmployeeAd;Chief Executive Officer Feb 6, 2012
Robert Page Individual Corporate Director Jul 1, 2019
Charles Aliano Individual Corporate Director Jul 1, 2007
Daniel L Coster Individual Contracted Managing EmployeeMD; Jul 1, 2025
George Stover Individual Corporate Director Sep 1, 2021
Kelli Kane Individual W-2 Managing EmployeeAd;Chief Financial Officer Feb 8, 2008
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 12

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": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635379200000",
    "number": "1962680256",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 ERIE BLVD",
            "city": "SUSQUEHANNA",
            "state": "PA",
            "postal_code": "188472791",
            "telephone_number": "570-853-3135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARNES-KASSON COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A",
        "authorized_official_last_name": "ADORNATO",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "570-853-3135"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Susquehanna, PA

Sources for this page

Verify at the official NPI Registry.