1861550642 NPI number — HOT SPRINGS COUNTY HOSPITAL DISTRICT

Table of content: (NPI 1861550642)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861550642 NPI number — HOT SPRINGS COUNTY HOSPITAL DISTRICT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HOT SPRINGS COUNTY HOSPITAL DISTRICT
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
HOT SPRINGS COUNTY MEMORIAL HOSPITAL
Provider Other Organization Name Type Code:
4
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1861550642
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/25/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
150 E ARAPAHOE ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
THERMOPOLIS
Provider Business Mailing Address State Name:
WY
Provider Business Mailing Address Postal Code:
82443-2402
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
307-864-3121
Provider Business Mailing Address Fax Number:
307-864-5050

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
150 E ARAPAHOE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
THERMOPOLIS
Provider Business Practice Location Address State Name:
WY
Provider Business Practice Location Address Postal Code:
82443-2402
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
307-864-3121
Provider Business Practice Location Address Fax Number:
307-864-5050
Provider Enumeration Date:
12/05/2006

Additional Information

Authorized Official

Authorized Official Last Name:
LARSON
Authorized Official First Name:
SHELLY
Authorized Official Middle Name:
L.
Authorized Official Title or Position:
CHIEF FINANCIAL OFFICER
Authorized Official Telephone Number:
307-864-5019

Provider Taxonomy Codes

  • Taxonomy code: 282NC0060X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 282NC0060X , registered in the state of WY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 341600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 107327311 , issued by the state of ( WY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 107327312 , issued by the state of ( WY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7245 . This is a "BLUECROSS" identifier , issued by the state of ( WY ) . This identifiers is of the category "OTHER".
  • Identifier: CO133 . This is a "MEDICARE RAILROAD" identifier , issued by the state of ( WY ) . This identifiers is of the category "OTHER".
  • Identifier: 107327303 , issued by the state of ( WY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 107327314 , issued by the state of ( WY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 927-001 . This is a "BLUESHIELD" identifier , issued by the state of ( WY ) . This identifiers is of the category "OTHER".
  • Identifier: 107327300 , issued by the state of ( WY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 107327304 , issued by the state of ( WY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 107327306 , issued by the state of ( WY ) . This identifiers is of the category "MEDICAID".




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