Organization
WELLMONT HAWKINS COUNTY MEMORIAL HOSPITAL INC
Active
Other names
Hawkins County Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE EDWIN HILTON (EVP/CFO)
(423) 302-3467
Entity
Organization
Contact information
Practice address
851 LOCUST ST, ROGERSVILLE, TN 37857
(423) 921-7000
(423) 921-7022
Mailing address
311 PRINCETON RD STE 1, JOHNSON CITY, TN 37601-2026
(423) 921-7000
(423) 921-7022
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004400356
—
VA
01
—
030023800
BLACK LUNG
TN
05
—
0440032
—
TN
05
—
100020080
—
TN
01
—
1000804
TN BLUE CROSS
TN
05
—
1000804
—
TN
01
—
158031
ANTHEM
VA
01
—
A3785700
UHC RIVER VALLEY
TN
05
—
A3785700
—
TN
Enumeration date
07/03/2006
Last updated
04/17/2024
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