# BLOUNT MEMORIAL HOSPITAL, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BLOUNT MEMORIAL HOSPITAL
- **Other names:** Blount Memorial Good Samaritan Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1356368310
- **Legal business name:** BLOUNT MEMORIAL HOSPITAL
- **Authorized official:** KAREN D HOBBY (BMH MSO DIRECTOR)
- **Authorized official phone:** (865) 273-1750

## Contact information

- **Practice address:** 116 CHANTILLY LN, MARYVILLE, TN 37803-6102
- **Practice address phone:** (865) 273-1616
- **Practice address fax:** (865) 273-1645
- **Mailing address:** PO BOX 5629, MARYVILLE, TN 37802-5629
- **Mailing address phone:** (865) 273-1752
- **Mailing address fax:** (865) 273-1755

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/16/2006
- **Last updated:** 09/04/2009
