NPIMap

Organization Active NPI

Hot Springs Health Program, Inc.

Doing business as Mashburn Medical Center

  • Federally Qualified Health Center (FQHC)
  • Marshall, NC
National Provider Identifier
1942277454
Registry record updated Jul 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HOT SPRINGS HEALTH PROGRAM, INC.
Doing business as
Mashburn Medical Center
Practice address
590 Medical Park Dr
Marshall, NC 28753-6807
Phone
(828) 649-3500
Fax
(828) 649-1032
NPI assigned
Mar 2, 2006
Last updated
Jul 28, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
HOT SPRINGS HEALTH PROGRAM, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 28, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Teresa B Strom
Title
Executive Director
Phone
(828) 649-0800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

590 Medical Park Dr
Marshall, NC 28753-6807

Mailing address

PO Box 69
Marshall, NC 28753-0069
Phone (828) 649-0800

Other identifiers 3

IdentifierTypeStateIssuer
01799OtherNCBCBS
CA4200OtherNCRAIL ROAD MEDICARE
1942277454MedicaidNC

Other names 1

  • Mashburn Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040916000543 NC Part B Supplier - Clinic/Group Practice 7214904325 Receives reassigned benefits from 27 practitioners
3 other NPIs on this enrollment
Practice locations: Hot Springs, NC; Mars Hill, NC; Marshall, NC
O20050620000323 NC Part A Provider - Federally Qualified Health Center (FQHC) 7214904325 Practice locations: Marshall, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1942277454. Details of each certification follow.

Federally qualified health center certification: CCN 341898

Legal name
HOT SPRINGS HEALTH PROGRAM INC
Doing business as
MASHBURN MEDICAL CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 26, 2005
Last certification
Aug 26, 2005
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
May 13, 1971 in NC
Enrollment address
590 Medical Park Dr
Marshall, NC 28753-6807

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Hot Springs Health Prog

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
George G Caudle Individual Corporate OfficerBoard Co-Chair Jul 15, 2024
Corporate DirectorBoard Member Feb 1, 2002
Sidney B Mashburn Individual Corporate OfficerBoard Secretary/Treasurer Aug 29, 2024
Corporate DirectorBoard Member Aug 1, 2011
Dana M Jones Individual W-2 Managing EmployeeAssociate Medical Director Feb 19, 2024
Andrea Yontz Individual Corporate DirectorBoard Member Jan 24, 2022
Karen S Cutshall Individual Corporate OfficerBoard Co-Chair Jul 15, 2024
Corporate DirectorBoard Member Jul 1, 1999
Robert G Cody Individual Corporate DirectorBoard Member Jul 1, 2004
Pamela E Gregg Individual W-2 Managing EmployeeAssociate Director Aug 1, 2014
Curtis R Young Individual Corporate DirectorBoard Member Jul 1, 2009
Joseph Rockenstein Individual Corporate DirectorExecutive Director Jul 1, 2025
W-2 Managing EmployeeExecutive Director Jul 1, 2025
Frielden B Jones Individual W-2 Managing EmployeeMedical Director Jun 8, 1979
Judith Major Individual Corporate DirectorBoard Member Sep 19, 2022
Robert W Zimmerman Individual Corporate DirectorBoard Member Dec 16, 2024
Usda Rural Housing Service Organization, Raleigh, NC 5% Or Greater Mortgage Interest Jan 1, 2018 32%

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hospice of MadisonMarshall, NC, CCN 341540 Hospice 5% Or Greater Direct Ownership Interest Oct 1, 1987

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 30

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469664000000",
    "number": "1942277454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69",
            "city": "MARSHALL",
            "state": "NC",
            "postal_code": "287530069",
            "telephone_number": "828-649-0800",
            "fax_number": "828-649-3786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 MEDICAL PARK DR",
            "city": "MARSHALL",
            "state": "NC",
            "postal_code": "287536807",
            "telephone_number": "828-649-3500",
            "fax_number": "828-649-1032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOT SPRINGS HEALTH PROGRAM, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOT SPRINGS HEALTH PROGRAM, INC.",
        "enumeration_date": "2006-03-02",
        "last_updated": "2016-07-28",
        "status": "A",
        "authorized_official_last_name": "STROM",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "828-649-0800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01799",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "CA4200",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942277454",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mashburn Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marshall, NC

Sources for this page

Verify at the official NPI Registry.