Healthcare Provider Details

I. General information

NPI: 1548237464
Provider Name (Legal Business Name): HOT SPRINGS HEALTH PROGRAM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2006
Last Update Date: 04/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

540 DILLINGHAM RD
BARNARDSVILLE NC
28709-9754
US

IV. Provider business mailing address

PO BOX 69
MARSHALL NC
28753-0069
US

V. Phone/Fax

Practice location:
  • Phone: 828-626-3965
  • Fax: 828-626-3784
Mailing address:
  • Phone: 828-649-0800
  • Fax: 828-649-3786

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. TERESA B STROM
Title or Position: ASSOCIATE DIRECTOR
Credential:
Phone: 828-649-0800