WELLMONT HEALTH SYSTEM (NPI# 1568905925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568905925 |
| Entity Type | Organization |
| Organization Name | WELLMONT HEALTH SYSTEM |
| Other Organization Name | BHRHC HANCOCK |
| Practice Address |
1519 Main Street Sneedville TN 37869 |
| Mailing Address |
2020 Brookside Dr Kingsport TN 37660-4633 |
| Practice Telephone | 4237335000 |
| Practice Fax Number | 4238444536 |
| Mailing Telephone | 4233430434 |
| Mailing Fax Number | 4233430435 |
| Enumeration Date | 2016-12-02 |
| Last Update Date | 2019-12-30 |
| 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 | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| BHRHC HANCOCK | Doing Business As Name - Organization |
| Hancock County Family Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1699056721 | Wellmont Health System | Clinic/Center | 1230 Volunteer Pkwy, Bristol, TN 37620-4628 | 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 STREET |
| City | SNEEDVILLE |
| State | TN |
| Zip Code | 37869 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1497708572 | Benjamin S Clark | Nurse Practitioner | 1861 Main Street, Sneedville, TN 37869 | 2006-05-18 |
| Find all providers in zip 37869 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588275317 | Henry County Medical Center | Clinic/Center | 300 Hospital Cir Ste 204, Paris, TN 38242-4597 | 2020-08-14 |
| 1447861562 | Henry County Medical Center | Clinic/Center | 14201 Highway 79 N Unit 4, Buchanan, TN 38222-4183 | 2020-08-12 |
| 1003425224 | Dickson Medical Associate, PC | Clinic/Center | 127 Crestview Park Dr Ste 205, Dickson, TN 37055-2856 | 2020-07-23 |
| 1023631454 | Spring City Family Clinic Pllc | Clinic/Center | 126 Lavender St Ste 2, Spring City, TN 37381-5102 | 2020-05-20 |
| 1871001271 | Shelbyville Hospital Company LLC | Clinic/Center | 1330 Cedar Ln Ste 100, Tullahoma, TN 37388-2284 | 2018-01-19 |
| 1720596125 | Shelbyville Hospital Company LLC | Clinic/Center | 1440 Cedar Ln Unit 100, Tullahoma, TN 37388-2262 | 2018-01-19 |
| 1548788458 | Shelbyville Hospital Company LLC | Clinic/Center | 1612 N Main St Ste A, Shelbyville, TN 37160-2392 | 2017-08-31 |
| 1063938520 | Mid-south Convenient Care, Pllc | Clinic/Center | 1445 Us Highway 51 Byp E Ste B, Dyersburg, TN 38024-2127 | 2017-08-16 |
| 1871034462 | Martin Health | Clinic/Center | 143 Kennedy Drive, Martin, TN 38237-3309 | 2017-03-15 |
| 1881135895 | Humboldt Family Walk-in Clinic LLC | Clinic/Center | 1600 Coleman Dr, Humboldt, TN 38343-1756 | 2017-03-10 |
| 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.