Organization
SMYTH COUNTY COMMUNITY HOSPITAL
Active
Parent organization
SMYTH COUNTY COMMUNITY HOSPITAL
Other names
BHRHC GLADE
Organization subpart
Yes
Provider details
NPI number
Legal business name
SMYTH COUNTY COMMUNITY HOSPITAL
Authorized official
SHANE EDWIN HILTON (EVP/CFO)
(423) 302-3467
Entity
Organization
Contact information
Practice address
636 S MONTE VISTA DR, GLADE SPRING, VA 24340-2712
(276) 429-5163
(276) 429-5515
Mailing address
311 PRINCETON RD STE 1, JOHNSON CITY, TN 37601-2026
(276) 429-5163
(276) 429-5515
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
H1902
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007610131
—
VA
Enumeration date
06/23/2005
Last updated
04/16/2024
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