Healthcare Provider Details
I. General information
NPI: 1841814084
Provider Name (Legal Business Name): HOT SPRINGS COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/03/2020
Last Update Date: 09/04/2024
Certification Date: 09/04/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1001 W MAIN ST
RIVERTON WY
82501-3230
US
IV. Provider business mailing address
1001 W MAIN ST
RIVERTON WY
82501-3230
US
V. Phone/Fax
- Phone: 307-864-5534
- Fax: 307-864-5226
- Phone: 307-864-5534
- Fax: 307-864-5226
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QR1300X |
| Taxonomy | Rural Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
NATALYA
KELLER
Title or Position: CFO
Credential: CPA
Phone: 307-864-5065