Provider Demographics
NPI:1548237464
Name:HOT SPRINGS HEALTH PROGRAM
Entity Type:Organization
Organization Name:HOT SPRINGS HEALTH PROGRAM
Other - Org Name:BARNARDSVILLE MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ASSOCIATE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:B
Authorized Official - Last Name:STROM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-649-0800
Mailing Address - Street 1:PO BOX 69
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:NC
Mailing Address - Zip Code:28753-0069
Mailing Address - Country:US
Mailing Address - Phone:828-649-0800
Mailing Address - Fax:828-649-3786
Practice Address - Street 1:540 DILLINGHAM RD
Practice Address - Street 2:
Practice Address - City:BARNARDSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28709-9754
Practice Address - Country:US
Practice Address - Phone:828-626-3965
Practice Address - Fax:828-626-3784
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOT SPRINGS HEALTH PROGRAM
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-03-01
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC01663OtherBCBS
NC344531A & CMedicaid
NCCA4200OtherUNITEDHEALTH PRIMARY CARE
NC01663OtherBCBS
NCCA4200OtherUNITEDHEALTH PRIMARY CARE
NC2580362Medicare Oscar/Certification