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Organization
WELLMONT HEALTH SYSTEM
Active
Organization
WELLMONT HEALTH SYSTEM
Active
Other names
Bristol Regional Medical Center Psychiatric Unit
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE EDWIN HILTON (EVP/CFO)
(423) 302-3467
Entity
Organization
Contact information
Practice address
1 MEDICAL PARK BLVD, BRISTOL, TN 37620
(423) 844-1121
Mailing address
311 PRINCETON RD STE 1, JOHNSON CITY, TN 37601-2026
(423) 844-1121
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3162433
TN BLUE CROSS
TN
Enumeration date
07/03/2006
Last updated
04/16/2024
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