# JOHNSON CITY MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144605346
- **Authorized official:** MS. MELISSA POWELL M.D. (TRAUMA PROGRAM ATTENDING)
- **Authorized official phone:** (423) 431-5809

## Contact information

- **Practice address:** 400 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604-6035
- **Practice address phone:** (423) 431-6831
- **Mailing address:** 105 HIDDEN VALLEY RD, JOHNSON CITY, TN 37601-6304
- **Mailing address phone:** (423) 773-9353

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 17922 | TN | Yes |

## Other

- **Enumeration date:** 07/29/2015
- **Last updated:** 07/29/2015