Organization
WELLMONT WEXFORD HOUSE
Active
Parent organization
WELLMONT HEALTH SYSTEM
Other names
The Wexford House
Organization subpart
Yes
Provider details
NPI number
Legal business name
WELLMONT HEALTH SYSTEM
Authorized official
SHANE EDWIN HILTON (EVP/CFO)
(423) 302-3467
Entity
Organization
Contact information
Practice address
2421 N JOHN B DENNIS HWY, KINGSPORT, TN 37660-4773
(423) 288-3988
(423) 288-3273
Mailing address
311 PRINCETON RD STE 1, JOHNSON CITY, TN 37601-2026
(423) 288-3988
(423) 288-3273
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
265
TN
314000000X
Skilled Nursing Facility
Primary
265
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7440529
—
TN
Enumeration date
07/21/2005
Last updated
04/16/2024
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