# WELLMONT LONESOME PINE HOSPITAL

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

## Provider details

- **NPI number:** 1659668341
- **Authorized official:** DAVID BRASH (CEO)
- **Authorized official phone:** (276) 523-8603

## Contact information

- **Practice address:** 1990 HOLTON AVE E, BIG STONE GAP, VA 24219-3350
- **Practice address phone:** (276) 523-8748
- **Mailing address:** 1990 HOLTON AVE E, BIG STONE GAP, VA 24219-3350

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 885885 | VA | Yes |

## Other

- **Enumeration date:** 07/01/2011
- **Last updated:** 07/01/2011
