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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