Organization
WYTHE COUNTY COMMUNITY HOSPITAL LLC
Active
Organization
WYTHE COUNTY COMMUNITY HOSPITAL LLC
Active
Other names
Wythe County Community Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR E. GIOVANETTI (PRESIDENT)
(615) 920-7000
Entity
Organization
Contact information
Practice address
103 POWELL CT, BRENTWOOD, TN 37027-5079
(615) 372-8500
(615) 695-8414
Mailing address
600 W RIDGE RD, WYTHEVILLE, VA 24382-1044
(276) 228-0200
(276) 228-0397
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
2085B0100X
Body Imaging Physician
—
—
208600000X
Surgery Physician
—
—
208D00000X
General Practice Physician
—
—
363L00000X
Nurse Practitioner
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C14487
PALMETTO
—
Enumeration date
05/26/2006
Last updated
05/25/2017
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