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Organization
TAKOMA REGIONAL HOSPITAL INC
Active
Organization
TAKOMA REGIONAL HOSPITAL INC
Active
Other names
GREENEVILLE COMMUNITY HOSPITAL, Ballad Health Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE EDWIN HILTON (EVP/CFO)
(423) 302-3467
Entity
Organization
Contact information
Practice address
1420 TUSCULUM BLVD, GREENEVILLE, TN 37745-4279
(423) 787-5000
(423) 787-5147
Mailing address
311 PRINCETON RD STE 1, JOHNSON CITY, TN 37601-2080
(423) 787-5000
(423) 787-5147
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
282N00000X
General Acute Care Hospital
Primary
—
NULL
Other
Enumeration date
02/18/2007
Last updated
04/22/2025
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