Organization
JOHNSTON MEMORIAL HOSPITAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE EDWIN HILTON (EVP/CFO)
(423) 302-3467
Entity
Organization
Contact information
Practice address
16000 JOHNSTON MEMORIAL DR, ABINGDON, VA 24211-7664
(276) 258-1000
(276) 258-2805
Mailing address
311 PRINCETON RD STE 1, JOHNSON CITY, TN 37601-2026
(276) 258-1000
(276) 258-2805
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
—
—
282N00000X
General Acute Care Hospital
Primary
H1864
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007658
ANTHEM BLUE CROSS
VA
05
—
1104812684
—
VA
01
—
142849
BLUE CROSS REF. LAB
VA
01
—
CB9307
RR MEDICARE
VA
Enumeration date
09/21/2005
Last updated
05/29/2025
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