Healthcare Provider Details

I. General information

NPI: 1407447766
Provider Name (Legal Business Name): HOT SPRINGS COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2021
Last Update Date: 09/04/2024
Certification Date: 09/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

702 E 2ND ST
SHOSHONI WY
82649
US

IV. Provider business mailing address

120 N C AVE
THERMOPOLIS WY
82443-2410
US

V. Phone/Fax

Practice location:
  • Phone: 307-876-0221
  • Fax: 307-876-0931
Mailing address:
  • Phone: 307-864-5534
  • Fax: 307-864-5226

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NATALYA KELLER
Title or Position: CFO
Credential:
Phone: 307-864-5065