# BLOUNT MEMORIAL HOSPITAL, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BLOUNT MEMORIAL HOSPITAL, INC.
- **Other names:** Tellico West Family Medicine
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1871723361
- **Legal business name:** BLOUNT MEMORIAL HOSPITAL, INC.
- **Authorized official:** JANE NELSON (ASSISTANT ADMINISTRATOR)
- **Authorized official phone:** (865) 981-2310

## Contact information

- **Practice address:** 110 DEER CROSSING, VONORE, TN 37885
- **Practice address phone:** (423) 884-6958
- **Practice address fax:** (423) 884-6959
- **Mailing address:** 220 ASSOCIATES BLVD., ALCOA, TN 37701
- **Mailing address phone:** (865) 984-0100
- **Mailing address fax:** (865) 681-2967

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/20/2009
- **Last updated:** 07/20/2009