# WELLMONT HEALTH SYSTEM, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wellmont Bristol Regional Medical Center Home Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902887680
- **Authorized official:** MRS. CAROL J KAWCHAK (INTERIM DIRECTOR)
- **Authorized official phone:** (423) 230-8475

## Contact information

- **Practice address:** 240 MEDICAL PARK BLVD, SUITE 2600, BRISTOL, TN 37620-7346
- **Practice address phone:** (423) 844-5530
- **Mailing address:** 240 MEDICAL PARK BLVD, SUITE 2600, BRISTOL, TN 37620-7346
- **Mailing address phone:** (423) 844-5530

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 0000000248 | TN | Yes |

## Other

- **Enumeration date:** 11/09/2005
- **Last updated:** 08/22/2020