Wellmont Health System, NPI 1487690400
General Acute Care Hospital in Kingsport, TN, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1487690400 |
| NPI Entity Type | Organization |
| Provider Name |
Wellmont Health System
Doing Business As |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 130 W Ravine Rd, Kingsport, TN, US |
| Provider Mailing Address | 311 Princeton Rd Ste 1, Johnson City, TN, US, 376012026 |
| Gender | Male |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | Mary Lynn Krutak |
| Official Position | EVP/CFO |
| Phone | 423-302-3423 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | General Acute Care Hospital |
| Classification | |
| Group | |
| Description | An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 036101100 | TN | BLACK LUNG | 01 |
| 0440017 | TN | MEDICAID | 05 |
| A3766001 | TN | MEDICAID | 05 |
| 004400178 | VA | MEDICAID | 05 |
| 092263300 | FL | MEDICAID | 05 |
| 100020304 | TN | MEDICAID | 05 |
| 1000805 | TN | MEDICAID | 05 |
| 0162200000 | KY | MEDICAID | 05 |
| 0169767000 | WV | MEDICAID | 05 |
| 166592401 | TN | POSTAL WORKERS DEPT OF LA | 01 |
| 4400017 | NC | MEDICAID | 05 |
| 1000805 | TN | TN BLUE CROSS | 01 |
| 0039640 | TN | UMWA OUT-PATIENT | 01 |
| 1741825 | LA | MEDICAID | 05 |
| 6530375 | TN | AETNA | 01 |
| 240866 | VA | ANTHEM BLUE CROSS | 01 |
| A3766001 | TN | UHC RIVER VALLEY | 01 |
| 0039632 | TN | UMWA IN-PATIENT | 01 |
Health Information Exchange
| Endpoint Type | Endpoint | Description | Use | Content Type | Affiliation | Location |
|---|---|---|---|---|---|---|
| CONNECT | https://67.32.31.88:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service | 2.16.840.1.113883.3.1340.1 | OTHER | OTHER | Yes | 130 W Ravine Rd, Kingsport, TN, US |
Other Providers in TN, US
| NPI | Name | Taxonomy | Address |
|---|---|---|---|
|
MRS. RN Emily Rae Johnson Individual |
315 Hospital Dr |
||
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PHARMD Rebecca Brittany Clegg Individual |
1430 S Roan St |
||
|
Christopher Byrd Individual |
4221 Maynardville Hwy |
||
|
MD Shalacia Palmer Leblanc Individual |
3400 Lebanon Rd |
||
|
DR. DNP, CRNA Mark Timothy Cresap Individual |
7357 Lucky Clover Ln |
||
|
Khumalo Foot And Ankle Clinic, Inc Organization |
1109 E Reelfoot Ave Ste D |
||
|
CCC-SLP Azjah Watson Individual |
70 Timber Creek Dr |
||
|
MS. DNP Ala'a Mitoubsi Individual |
1926 Alcoa Hwy |
||
|
NEMT Olivia Williams Individual |
8097 Waterford Cir Apt 204 |
||
|
Megan Nichole Trujillo Individual |
2740 Saint Andrews Dr |
||
|
M.D. David D. Buckman Individual |
2320 Wilma Rudolph Blvd. |
||
|
Ashley Myers Individual |
1211 Medical Center Dr |
||
|
Jessica Gomez Individual |
1727 N Germantown Pkwy Ste 107 |
||
|
Park Center Organization |
1935 21st Ave S |
||
|
DR. M.D. Melissa Lynn Mckittrick Individual |
3400 Lebanon Rd |
||
|
FNP-BC Misty Renee Nichols Individual |
2216 Rainbow Ln |
||
|
MD Douglas Todd Cannon Individual |
8000 Centerview Pkwy Suite 500 |
||
|
Dovamed Medical Organization |
545 Mainstream Dr Ste 102 |
||
|
Taylor Woods Individual |
6019 Walnut Grove Rd |
||
|
MRS. PA-C Brittany C Smith Individual |
1265 Union Ave |
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