Healthcare Provider Details
I. General information
NPI: 1245747872
Provider Name (Legal Business Name): HOT SPRINGS COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/04/2018
Last Update Date: 09/04/2024
Certification Date: 09/04/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
120 N C AVE
THERMOPOLIS WY
82443-2410
US
IV. Provider business mailing address
150 E ARAPAHOE ST
THERMOPOLIS WY
82443-2402
US
V. Phone/Fax
- Phone: 307-864-5534
- Fax: 307-864-9470
- Phone: 307-864-5019
- Fax: 307-864-5050
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 | WY |
VIII. Authorized Official
Name: MR.
SCOTT
ALWIN
Title or Position: CEO
Credential:
Phone: 307-864-5050