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Organization
JOHNSTON MEMORIAL HOSPITAL, INC
Active
Organization
JOHNSTON MEMORIAL HOSPITAL, INC
Active
Other names
Johnston Memorial Sleep Lab
Organization subpart
No
Provider details
NPI number
Authorized official
MARY LYNN KRUTAK (EVP/CFO)
(423) 302-3423
Entity
Organization
Contact information
Practice address
3175 LINDEN DR STE 3-5, BRISTOL, VA 24202-5849
(276) 258-4734
(276) 258-4736
Mailing address
311 PRINCETON RD STE 1, JOHNSON CITY, TN 37601-2026
(276) 258-4734
(276) 258-4736
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
H 1864
VA
Other
Enumeration date
09/09/2015
Last updated
02/04/2019
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