Organization
SMYTH COUNTY COMMUNITY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE EDWIN HILTON (EVP/CFO)
(423) 302-3467
Entity
Organization
Contact information
Practice address
245 MEDICAL PARK DR, MARION, VA 24354-1100
(276) 378-1000
(276) 378-1205
Mailing address
311 PRINCETON RD STE 1, JOHNSON CITY, TN 37601-2026
(276) 378-1000
(276) 378-1205
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
H1902
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004900383
—
VA
01
—
007678
ANTHEM
VA
Enumeration date
06/22/2005
Last updated
04/16/2024
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