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NPI Code Detail

MEDICARE: HOT SPRINGS HEALTH PROGRAM, INC.

MEDICARE: HOT SPRINGS HEALTH PROGRAM, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251G00000XCommunity Based Hospice Care AgencyHC0419NC
2251E00000XHome Health AgencyHC0419NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
400743OTHERNCBCBS NC HH PROVIDER NO.
50022POTHERNCBCBS NC HOS PROVIDER NO.

General Provider Information

NPI Number : 1508869249
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOT SPRINGS HEALTH PROGRAM, INC.
Provider Business Mailing Address
First Line : PO BOX 69
Second Line :
City : MARSHALL
State : NC
Zip : 28753-0069
Country : US
Telephone Number : 828-649-9566
Fax Number : 828-649-0687
Provider Business Practice Location Address
First Line : 590 MEDICAL PARK DR
Second Line :
City : MARSHALL
State : NC
Zip : 28753-6807
Country : US
Telephone Number : 828-649-9566
Fax Number : 828-649-0687
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : TERESA B STROM
Credential :
Telephone Number : 828-649-9566
Provider Enumeration Date : 05/25/2005
Last Update Date : 07/28/2016

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1528034667 — DR. LOUIS A SCHROEDER M.D.
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1942277454 — HOT SPRINGS HEALTH PROGRAM, INC.
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1871530360 — BROOKE ELLEN BUDDE DO
Practice Location Address:
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28753-6807
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Directions to “HOT SPRINGS HEALTH PROGRAM, INC. ” Practice Location

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