# SMYTH COUNTY COMMUNITY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SMYTH COUNTY COMMUNITY HOSPITAL
- **Other names:** BHRHC GLADE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1174529242
- **Legal business name:** SMYTH COUNTY COMMUNITY HOSPITAL
- **Authorized official:** SHANE EDWIN HILTON (EVP/CFO)
- **Authorized official phone:** (423) 302-3467

## Contact information

- **Practice address:** 636 S MONTE VISTA DR, GLADE SPRING, VA 24340-2712
- **Practice address phone:** (276) 429-5163
- **Practice address fax:** (276) 429-5515
- **Mailing address:** 311 PRINCETON RD STE 1, JOHNSON CITY, TN 37601-2026
- **Mailing address phone:** (276) 429-5163
- **Mailing address fax:** (276) 429-5515

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | H1902 | VA | Yes |

## Other

- **Enumeration date:** 06/23/2005
- **Last updated:** 04/16/2024