# LAUGHLIN MEMORIAL HOSPITAL

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

## Provider details

- **NPI number:** 1336111699
- **Authorized official:** MARY LYNN KRUTAK (EVP/CFO)
- **Authorized official phone:** (423) 302-3423

## Contact information

- **Practice address:** 1420 TUSCULUM BLVD, GREENEVILLE, TN 37745-4279
- **Practice address phone:** (423) 787-5000
- **Practice address fax:** (423) 787-5146
- **Mailing address:** 311 PRINCETON RD STE 1, JOHNSON CITY, TN 37601-2026
- **Mailing address phone:** (423) 787-5000
- **Mailing address fax:** (423) 787-5146

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NR1301X | Rural Acute Care Hospital | 0000000053 | TN | Yes |

## Other

- **Enumeration date:** 02/02/2006
- **Last updated:** 04/23/2019