Organization
BLOUNT MEMORIAL HOSPITAL, INC.
Active
Other names
Blount Memorial Home Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. I DONALD HEINEMANN II (CHIEF EXECUTIVE OFFICER)
(865) 977-5533
Entity
Organization
Contact information
Practice address
907 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804-5015
(865) 981-2172
(865) 981-2258
Mailing address
1095 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804-5134
(865) 981-2160
(865) 981-2258
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
0336390001
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0200139
BCBS PROVIDER NUMBER
TN
Enumeration date
09/22/2005
Last updated
11/09/2011
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