Healthcare Provider Details

I. General information

NPI: 1639755580
Provider Name (Legal Business Name): HOT SPRINGS COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2021
Last Update Date: 03/22/2021
Certification Date: 03/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 E ARAPAHOE ST
THERMOPOLIS WY
82443-2402
US

IV. Provider business mailing address

150 E ARAPAHOE ST
THERMOPOLIS WY
82443-2402
US

V. Phone/Fax

Practice location:
  • Phone: 307-864-3121
  • Fax: 307-864-5050
Mailing address:
  • Phone: 307-864-3121
  • Fax: 307-864-5050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: SHELLY L LARSON
Title or Position: CFP
Credential:
Phone: 307-864-5019