# TAKOMA REGIONAL HOSPITAL INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GREENEVILLE COMMUNITY HOSPITAL, Ballad Health Medical Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699819003
- **Authorized official:** SHANE EDWIN HILTON (EVP/CFO)
- **Authorized official phone:** (423) 302-3467

## Contact information

- **Practice address:** 1420 TUSCULUM BLVD, GREENEVILLE, TN 37745-4279
- **Practice address phone:** (423) 787-5000
- **Practice address fax:** (423) 787-5147
- **Mailing address:** 311 PRINCETON RD STE 1, JOHNSON CITY, TN 37601-2080
- **Mailing address phone:** (423) 787-5000
- **Mailing address fax:** (423) 787-5147

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 02/18/2007
- **Last updated:** 04/22/2025