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CAH531304-02 HOT SPRINGS COUNTY MEMORIAL (Active)
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Main Details
Name
HOT SPRINGS COUNTY MEMORIAL
Subdivision Name
Red Rock Family Practice - Rural Health Clinic
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH531304-02
Medicare Provider Number
531304
Outpatient Facility Provider Number
533996
Additional Details
Current Program Status
Active
Registration Date
1/14/2019
Participating Start Date
4/1/2019
Participating Approval Date
2/1/2019
Last Recertification Date
8/21/2024
Contacts
Authorizing Official
Hot Springs County Hospital District
Scott Alwin, CEO
(307) 864-5056
Primary Contact
Hot Springs County Hospital District
Daniel A Hemann, Pharmacist
(307) 864-5044
Addresses
Street Address
120 N C Ave
Thermopolis, WY 82443-2410
Billing Address
Hot Springs Health
150 E Arapahoe St
Thermopolis, WY 82443
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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