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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
1261QF0400XFederally Qualified Health Center (FQHC)

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2CA4200OTHERNCRAIL ROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
301799OTHERNCBCBS

General Provider Information

NPI Number : 1942277454
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 : 828-649-0800
Fax Number : 828-649-3786
Provider Business Practice Location Address
First Line : 590 MEDICAL PARK DR
Second Line :
City : MARSHALL
State : NC
Zip : 28753-6807
Country : US
Telephone Number : 828-649-3500
Fax Number : 828-649-1032
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MRS. TERESA B STROM
Credential :
Telephone Number : 828-649-0800
Provider Enumeration Date : 03/02/2006
Last Update Date : 07/28/2016

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1982670055 — DR. JANICE N COVERDALE M.D.
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28753-6807
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1528034667 — DR. LOUIS A SCHROEDER M.D.
Practice Location Address:
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1871530360 — BROOKE ELLEN BUDDE DO
Practice Location Address:
590 MEDICAL PARK DR
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28753-6807
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Directions to “HOT SPRINGS HEALTH PROGRAM, INC. ” Practice Location

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