Organization
THE CLARA BARTON HOSPITAL ASSOCIATION INC HOISINGTON KANSAS
Active
Other names
RUSSELL FAMILY MEDICAL CARE, Clara Barton Medical Clinic - Russell
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES TUSTEN (PRESIDENT & CEO)
(620) 653-2114
Entity
Organization
Contact information
Practice address
410 N MAIN ST, RUSSELL, KS 67665-2759
(785) 483-3811
(785) 483-2727
Mailing address
250 W 9TH ST, HOISINGTON, KS 67544-1706
(620) 653-5067
(620) 653-5070
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100099000F
UNICARE
KS
05
—
100099000F
—
KS
01
—
200259780A
UNICARE
KS
05
—
200259780A
—
KY
01
—
460831
CHILDREN'S MERCY
KS
Enumeration date
06/26/2008
Last updated
01/04/2024
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