Organization
WELLMONT HEALTH SYSTEM
Active
Other names
Norton Community Rehabilitaion Unit
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE EDWIN HILTON (EVP/CFO)
(423) 302-3467
Entity
Organization
Contact information
Practice address
100 15TH ST NW, NORTON, VA 24273-1616
(276) 439-1350
(276) 679-9011
Mailing address
311 PRINCETON RD STE 1, JOHNSON CITY, TN 37601-2026
(276) 439-1350
(276) 679-9011
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
H1879
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004930207
—
VA
01
—
007604
BLUE CROSS & BLUE SHIELD
VA
01
—
540566029
COMMERCIAL
VA
Enumeration date
08/14/2006
Last updated
04/16/2024
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