Healthcare Provider Details

I. General information

NPI: 1225666332
Provider Name (Legal Business Name): HOT SPRINGS HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2020
Last Update Date: 09/04/2024
Certification Date: 09/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1125 CHARLES AVE
WORLAND WY
82401-4021
US

IV. Provider business mailing address

1125 CHARLES AVE
WORLAND WY
82401-4021
US

V. Phone/Fax

Practice location:
  • Phone: 307-347-2449
  • Fax: 855-586-8402
Mailing address:
  • Phone: 307-347-2449
  • Fax: 855-586-8402

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. SCOTT ALWIN
Title or Position: CEO
Credential:
Phone: 307-864-3121