WELLMONT HEALTH SYSTEM (NPI# 1053340158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053340158 |
| Entity Type | Organization |
| Organization Name | WELLMONT HEALTH SYSTEM |
| Other Organization Name | HANCOCK COUNTY HOSPITAL |
| Practice Address |
1519 Main St Sneedville TN 37869 |
| Mailing Address |
311 Princeton Rd Ste 1 Johnson City TN 37601-2026 |
| Practice Telephone | 4237335000 |
| Mailing Telephone | 4237335000 |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2018-09-03 |
| Authorized Official Name | MARY LYNN KRUTAK (EVP/CFO) |
| Authorized Official Telephone | 4233023423 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 010246172 | 05 | |
| TN | UHC RIVER VALLEY | A3786976 | 01 |
| TN | A3786976 | 05 | |
| TN | TN BLUE CROSS | 4098162 | 01 |
| TN | 4098162 | 05 | |
| TN | 0441313 | 05 | |
| TN | 100049188 | 05 | |
| TN | 18472600 | 05 |
| Other Name | Type Code |
|---|---|
| HANCOCK COUNTY HOSPITAL | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568905925 | Wellmont Health System | Clinic/Center | 1519 Main Street, Sneedville, TN 37869 | 2016-12-02 |
| 1316130602 | Wellmont Health System | Skilled Nursing Facility | 310 3rd St Ne, Norton, VA 24273 | 2007-08-21 |
| 1407049877 | Wellmont Health System | General Acute Care Hospital | 9480 Hwy 805, Jenkins, KY 41537-0472 | 2007-08-20 |
| 1144437716 | Wellmont Health System | Assisted Living Facility | 2000 Greenway St, Kingsport, TN 37660-3020 | 2007-05-16 |
| 1760493258 | Wellmont Health System | Pharmacy | 1980 Holton Ave E # 1, Big Stone Gap, VA 24219-3366 | 2006-08-10 |
| 1760405849 | Wellmont Health System | Psychiatric Unit | 1905 American Way, Kingsport, TN 37660-5882 | 2006-07-26 |
| 1962432088 | Wellmont Health System | Hospice, Inpatient | 280 Steeles Rd, Bristol, TN 37620 | 2006-07-04 |
| 1033191044 | Wellmont Health System | Home Health | Cloverleaf Square, Building G, Big Stone Gap, VA 24219 | 2005-11-16 |
| 1972884005 | Wellmont Health System | Clinic/Center | 671 Highway 58 E, Norton, VA 24273-3007 | 2011-09-02 |
| 1326329459 | Wellmont Health System | Spec/Tech, Cardiovascular | 2050 Meadowview Pkwy, Kingsport, TN 37660-7475 | 2011-09-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | WELLMONT HEALTH SYSTEM | 303 Med Tech Parkway, Suite 300, Johnson City, Tennessee 37604 |
| Street Address |
1519 MAIN ST |
| City | SNEEDVILLE |
| State | TN |
| Zip Code | 37869 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700880242 | John Anthony Short | Family Medicine | 1519 Main St, Sneedville, TN 37869-3657 | 2005-06-13 |
| 1174926372 | Casey Louis Johnson | Physician Assistant | 1519 Main St, Sneedville, TN 37869-3657 | 2014-10-01 |
| 1336170828 | Roland Timothy O'leary | Emergency Medicine | 1519 Main St, Sneedville, TN 37869-3657 | 2006-07-05 |
| 1245261734 | Wayne C Page | Emergency Medicine | 1519 Main St, Sneedville, TN 37869-3657 | 2006-07-05 |
| 1225068711 | Wellmont Health System | Medicare Defined Swing Bed Unit | 1519 Main St, Sneedville, TN 37869 | 2006-07-03 |
| 1619905692 | Bradly Shane Holland | Emergency Medicine | 1519 Main St, Sneedville, TN 37869-3657 | 2006-06-29 |
| 1720029614 | Craig Jerome Lenz | Emergency Medicine | 1519 Main St, Sneedville, TN 37869-3657 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568905925 | Wellmont Health System | Clinic/Center | 1519 Main Street, Sneedville, TN 37869 | 2016-12-02 |
| 1881833192 | Truett Haze Pierce | Family Medicine | 215 Circle Drive, Sneedville, TN 37869 | 2009-02-10 |
| 1740491638 | Allison Lawson | Pharmacist | 1267 Main Street, Sneedville, TN 37869 | 2007-05-24 |
| 1558490482 | Detra Lynn Lewis | Pharmacist | 1260 West Main Street, Sneedville, TN 37869 | 2007-03-05 |
| 1306985981 | Sally June Morris | Registered Nurse | 178 Willow St., Sneedville, TN 37869 | 2007-02-06 |
| 1255470811 | Margaret Ruth Wilson | Registered Nurse | 178 Willow Street, Sneedville, TN 37869 | 2007-02-06 |
| 1073674933 | County of Hancock | Home Health | 1246 Main Street, Sneedville, TN 37869 | 2006-12-13 |
| 1881798569 | Jennifer Michelle Herron | Licensed Practical Nurse | 333 Campbell Dr, Sneedville, TN 37869 | 2006-09-12 |
| 1043314735 | Martha Jane Brooks | Social Worker | 333 Campbell Drive, Sneedville, TN 37869 | 2006-09-12 |
| 1194833251 | Ken B Smith | Pharmacist | 140 Church Street, Sneedville, TN 37869 | 2006-08-28 |
| Find all providers in zip 37869 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861763963 | Sonja Renee Gregory | General Acute Care Hospital | 1208b Scottsville Rd, Lafayette, TN 37083-2231 | 2012-01-20 |
| 1720036841 | Trinity Hospital LLC | General Acute Care Hospital | 5001 E Main St, Erin, TN 37061-4115 | 2006-05-04 |
| 1659347920 | Camden General Hospital, Inc. | General Acute Care Hospital | 175 Hospital Dr, Camden, TN 38320-1617 | 2006-02-27 |
| 1750363115 | Copper Basin Community Hospital Inc | General Acute Care Hospital | 144 Medical Center Drive, Copperhill, TN 37317 | 2005-11-18 |
| 1417938846 | Macon County General Hospital, Inc. | General Acute Care Hospital | 204 Medical Drive, Lafayette, TN 37083-9999 | 2005-11-11 |
| 1811987084 | Rhea Medical Center | General Acute Care Hospital | 9400 Rhea County Hwy, Dayton, TN 37321-7922 | 2005-10-27 |
| 1376175687 | Lauderdale Community Hospital LLC | General Acute Care Hospital | 326 Asbury Ave, Ripley, TN 38063-5577 | 2020-02-05 |
| 1104472372 | Rural Hospitals and Clinics of America, Inc | General Acute Care Hospital | 100 Old Jefferson St, Celina, TN 38551-4040 | 2019-08-14 |
| 1962981878 | Houston County Community Hospital | General Acute Care Hospital | 5001 E Main St, Erin, TN 37061-4115 | 2018-08-10 |
| 1851759526 | Community Pharmacy | General Acute Care Hospital | 1818 Albion St, Nashville, TN 37208-2918 | 2016-02-09 |
| Find all providers with the same taxonomy | ||||
| City | SNEEDVILLE |
| Zip Code | 37869 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.