Organization
WELLMONT HEALTH SYSTEM
Active
Other names
HANCOCK COUNTY HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE EDWIN HILTON (EVP/CFO)
(423) 302-3467
Entity
Organization
Contact information
Practice address
1519 MAIN ST, SNEEDVILLE, TN 37869
(423) 733-5000
(423) 733-5092
Mailing address
311 PRINCETON RD STE 1, JOHNSON CITY, TN 37601-2026
(423) 733-5000
(423) 733-5092
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010246172
—
VA
05
—
0441313
—
TN
05
—
100049188
—
TN
05
—
18472600
—
TN
01
—
4098162
TN BLUE CROSS
TN
05
—
4098162
—
TN
01
—
A3786976
UHC RIVER VALLEY
TN
05
—
A3786976
—
TN
Enumeration date
07/01/2006
Last updated
04/16/2024
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