WELLMONT HEALTH SERVICES INC (NPI# 1053391938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053391938 |
| Entity Type | Organization |
| Organization Name | WELLMONT HEALTH SERVICES INC |
| Other Organization Name | WELLMONT HOME MEDICAL EQUIP/INFUSION NETWORK |
| Practice Address |
951 Highway 126 Bristol TN 37620-3353 |
| Mailing Address |
Po Box 339 Bristol TN 37621-0339 |
| Practice Telephone | 4238446840 |
| Practice Fax Number | 4238446824 |
| Mailing Telephone | 4238446840 |
| Mailing Fax Number | 4238446824 |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. RONALD E DINGUS (FINANCIAL MANAGER) |
| Authorized Official Telephone | 4238446851 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 332B00000X | Durable Medical Equipment & Medical Supplies | 0000000455 | TN | Suppliers |
| X | 333600000X | Pharmacy | 0000002963 | TN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1452101 | 05 |
| Other Name | Type Code |
|---|---|
| Wellmont Home Medical Equip/Infusion Network | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | WELLMONT HEALTH SERVICES INC. | 1905 American Way, Kingsport, Tennessee 37660 |
| Street Address |
951 HIGHWAY 126 |
| City | BRISTOL |
| State | TN |
| Zip Code | 37620-3353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043482169 | Jennifer Nicole Carter | Pharmacist | 951 Highway 126, Bristol, TN 37620-3353 | 2008-03-28 |
| 1710079363 | Tracy Lynn Bamman | Pharmacy Technician | 951 Highway 126, Bristol, TN 37620-3353 | 2006-09-29 |
| 1174615280 | Edith Marie Jones | Pharmacy Technician | 951 Highway 126, Bristol, TN 37620-3353 | 2006-09-28 |
| 1558462911 | Melissa Lorraine Mabe | Pharmacist | 951 Highway 126, Bristol, TN 37620-3353 | 2006-09-26 |
| 1356301584 | Linda S Nickels | Licensed Practical Nurse | 951 Highway 126, Bristol, TN 37620-3353 | 2006-03-23 |
| 1548229479 | Amy Kristen Wood | Pharmacist | 951 Highway 126, Bristol, TN 37620-3353 | 2006-03-20 |
| 1841259090 | Perry Warren Ripple, IIi | Pharmacist | 951 Highway 126, Bristol, TN 37620-3353 | 2006-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376180216 | Firstep, LLC | Psychiatry & Neurology | 3183 W. State St., Suite 1201, Bristol, TN 37620 | 2019-12-10 |
| 1578047726 | Amanda Harville Mcgrady | Psychologist | 105 Walnut Circle, Bristol, TN 37620 | 2018-09-23 |
| 1467932533 | Teresa Mooney | Nurse Practitioner | 324 Leslie Ct, Bristol, TN 37620 | 2018-08-17 |
| 1992285308 | Jeremy Aurbrey Blanzy | Nurse Practitioner | 1 Medical Park Boulevard, Suite 400e, Bristol, TN 37620 | 2018-08-15 |
| 1255841805 | Amanda L Pillion | Audiologist | 225 Midway Medical Park, Bristol, VA 37620 | 2017-10-10 |
| 1841717717 | Joel Blevins | Driver | 301 Webb Ct, Bristol, TN 37620 | 2017-08-23 |
| 1831579796 | Dr. Marie Crawford, Ph.d., Pllc | Psychologist | 739 Bluff City Highway, Suite 5, Bristol, TN 37620 | 2015-06-05 |
| 1508297169 | Cassandra Marie Conry | Chiropractor | 800 Hill St., Bristol, TN 37620 | 2013-12-09 |
| 1780025874 | Laura Leann Lawson-renfro | Nurse Practitioner | 260 Midway St, Bristol, TN 37620 | 2013-07-17 |
| 1760822365 | Ricky Bhimani | Internal Medicine | 208 Medical Park Boulevard, Bristol, TN 37620 | 2013-06-27 |
| Find all providers in zip 37620 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720430358 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 26 Midway St Ste 100, Bristol, TN 37620-1706 | 2016-07-07 |
| 1245689355 | Starling Physicians PC | Durable Medical Equipment & Medical Supplies | 1345 Farmington Ave, Bristol, CT 06010-4776 | 2016-06-09 |
| 1114399011 | Betsy A Rose | Durable Medical Equipment & Medical Supplies | 725 Commonwealth Ave, Bristol, VA 24201-3321 | 2015-10-30 |
| 1578958146 | K Va T Food Stores Inc. | Durable Medical Equipment & Medical Supplies | 1317 Virginia Ave, Hwy 421, Bristol, TN 37620-5158 | 2015-04-01 |
| 1962782334 | Connecticut Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 60 Middle Street, Bristol, CT 06010-5201 | 2011-08-17 |
| 1518275015 | Advanced Medical Systems and Solutions | Durable Medical Equipment & Medical Supplies | 1200 New Rodgers Rd, Suite C9b, Bristol, PA 19007-2525 | 2010-09-17 |
| 1134431620 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1 Medical Park Blvd Ste 106e, Bristol, TN 37620-7450 | 2010-07-13 |
| 1598082513 | Johnny Clay Koehn | Durable Medical Equipment & Medical Supplies | 102 Flannagan Dr, Bristol, VA 24202-5842 | 2010-04-29 |
| 1366769861 | Allied Rehab Services | Durable Medical Equipment & Medical Supplies | 520 Brookwood Dr, Bristol, TN 37620-2815 | 2010-04-23 |
| 1316130180 | Grove Hill Medical Center PC | Durable Medical Equipment & Medical Supplies | 621 Terryville Rd, Grove Hill Medical Center., Bristol, CT 06010-4078 | 2007-08-24 |
| Find all providers in BRISTOL | ||||
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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.