Organization
WELLMONT HEALTH SYSTEM
Active
Parent organization
WELLMONT HEALTH SYSTEM
Other names
HOLSTON VALLEY SNF
Organization subpart
Yes
Provider details
NPI number
Legal business name
WELLMONT HEALTH SYSTEM
Authorized official
MR. CHRISTOPHER D. KNIGHT (EXEC. V.P. / CFO)
(423) 230-8200
Entity
Organization
Contact information
Practice address
130 W RAVINE RD, KINGSPORT, TN 37660-3810
(423) 224-4000
Mailing address
1 MEDICAL PARK BLVD, BRISTOL, TN 37620-7430
(423) 844-4711
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
183962
TN BLUE CROSS
TN
Enumeration date
07/03/2006
Last updated
11/12/2008
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