BLOUNT MEMORIAL HOSPITAL, INC. (NPI# 1699158410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699158410 |
| Entity Type | Organization |
| Organization Name | BLOUNT MEMORIAL HOSPITAL, INC. |
| Other Organization Name | MEND CLINIC |
| Practice Address |
349 Bmh Physicians Office Bldg Maryville TN 37804-5820 |
| Mailing Address |
Po Box 5629 Maryville TN 37802-5629 |
| Practice Telephone | 8659805044 |
| Practice Fax Number | 8659805090 |
| Mailing Telephone | 8652731752 |
| Mailing Fax Number | 8652731755 |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2015-06-30 |
| Authorized Official Name | KAREN HOBBY (DIRECTOR MSO) |
| Authorized Official Telephone | 8652731752 |
| Is Organization Subpart | Y |
| Parent Organization Name | BLOUNT MEMORIAL HOSPITAL, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| MEND CLINIC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326125428 | Blount Memorial Hospital, Inc. | Pediatrics | 212 Cates St, Maryville, TN 37801-4902 | 2006-11-01 |
| 1356368310 | Blount Memorial Hospital, Inc. | Family Medicine | 116 Chantilly Ln, Maryville, TN 37803-6102 | 2006-07-16 |
| 1801821434 | Blount Memorial Hospital, Inc. | Clinic/Center | 451 Bmh Physician Office Bldg, Maryville, TN 37804-5807 | 2006-07-12 |
| 1164498994 | Blount Memorial Hospital, Inc. | Skilled Nursing Facility | 2320 E Lamar Alexander Pkwy, Maryville, TN 37804-5316 | 2006-02-23 |
| 1346236494 | Blount Memorial Hospital, Inc. | Hospice Care, Community Based | 1095 East Lamar Alexander Parkway, Maryville, TN 37804 | 2005-09-23 |
| 1518953801 | Blount Memorial Hospital, Inc. | Durable Medical Equipment & Medical Supplies | 531 High Street, Maryville, TN 37804 | 2005-09-22 |
| 1023004363 | Blount Memorial Hospital, Inc. | Home Infusion | 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 | 2005-09-22 |
| 1649266974 | Blount Memorial Hospital, Inc. | Home Health | 1095 E Lamar Alexander Pkwy, Maryville, TN 37804-5134 | 2005-09-22 |
| 1548280548 | Blount Memorial Hospital, Inc. | Social Worker | 262 Cherokee Professional Park, Maryville, TN 37804-5153 | 2006-07-20 |
| 1851326490 | Blount Memorial Hospital, Inc. | Clinic/Center | 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 | 2006-07-12 |
| Street Address |
349 BMH PHYSICIANS OFFICE BLDG |
| City | MARYVILLE |
| State | TN |
| Zip Code | 37804-5820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538494273 | Jerome H Morton | Psychologist | 349 Bmh Physicians Office Bldg, Maryville, TN 37804-5820 | 2009-10-14 |
| 1275926255 | Donna Brantley | Nurse Practitioner | 349 Bmh Physicians Office Bldg, Maryville, TN 37804-5820 | 2015-03-14 |
| 1386033652 | Melissa Ambler | Nurse Practitioner | 349 Bmh Physicians Office Bldg, Maryville, TN 37804-5820 | 2015-01-09 |
| 1891024683 | Psychological & Educational Consultants, PC | Psychologist | 349 Bmh Physicians Office Bldg, Maryville, TN 37804-5820 | 2009-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659835825 | Matthew David Mallory | Physical Therapist | Morning View Village 2320 E. Lamar Alexander Parway, Maryville, TN 37804 | 2019-01-22 |
| 1063937290 | Rachel Ryan Mcmillan | Counselor | 362 High Street, Maryville, TN 37804 | 2017-08-09 |
| 1316461460 | Steven Casey Boring | Nurse Practitioner | 907 E. Lamar Alexander Pkwy., Maryville, TN 37804 | 2017-07-31 |
| 1851738751 | Robert Kane Mccall | Pathology | 250 E. Broadway, Maryville, TN 37804 | 2013-05-31 |
| 1619242849 | Jennifer Mcclements | Physical Therapy Assistant | 4004 Samuel Circle, Maryville, TN 37804 | 2012-03-21 |
| 1316223886 | Sabrina Nicole Powers | Social Worker | 1704 East Broadway, Maryville, TN 37804 | 2011-10-28 |
| 1407138381 | Russmann, Inc. | Ambulance | 4163 Benny Delozier Drive, Maryville, TN 37804 | 2011-09-15 |
| 1184932485 | Complete Family Care of Maryville, Pllc | Internal Medicine | 2004 E. Broadway, Maryville, TN 37804 | 2010-09-21 |
| 1093975096 | Kristi Clark Correll | Speech-Language Pathologist | 2030 East Lamar Alexander Parkway, Maryville, TN 37804 | 2008-06-12 |
| 1134388267 | Barbara Frantz Poulsen | Speech-Language Pathologist | 2030 E Lamar Alexander Parkway, Maryville, TN 37804 | 2008-06-04 |
| Find all providers in zip 37804 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821600693 | Tonya Ann Bosaw | Nurse Practitioner | 6812 State Route 162 Ste 204, Maryville, IL 62062-8562 | 2020-08-21 |
| 1841815701 | Samantha Mclean | Nurse Practitioner | 2005 Kirkland Blvd, Maryville, TN 37803-3600 | 2020-06-16 |
| 1477102713 | Tammy Ann Buchanon | Nurse Practitioner | 2415 Effler Rd, Maryville, TN 37803-6609 | 2019-09-10 |
| 1316500812 | Caitlyn Michelle Chaires | Nurse Practitioner | 525 W Broadway Ave, Maryville, TN 37801-4782 | 2019-04-19 |
| 1316461460 | Steven Casey Boring | Nurse Practitioner | 907 E. Lamar Alexander Pkwy., Maryville, TN 37804 | 2017-07-31 |
| 1477902708 | Katherine Buckner | Nurse Practitioner | 708 Devictor Dr, Maryville, TN 37801-8666 | 2016-06-07 |
| 1124484415 | Shannon Everett | Nurse Practitioner | 1716 Old Mount Tabor Rd, Maryville, TN 37801-7866 | 2016-01-03 |
| 1952797383 | Amanda Sue Anderson | Nurse Practitioner | 144 Oak Hill Dr, Maryville, IL 62062-6475 | 2015-04-13 |
| 1992194401 | Alyssa R. Loepker | Nurse Practitioner | 6812 State Route 162 Ste 120, Maryville, IL 62062-8586 | 2015-01-21 |
| 1477956076 | Lori B Crisp | Nurse Practitioner | 339 Bmh Physicians Office Bldg, Maryville, TN 37804-5820 | 2014-09-27 |
| Find all providers in MARYVILLE | ||||
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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.