Organization
WELLMONT HEALTH SYSTEM
Active
Other names
JENKINS COMMUNITY HOSPITAL LABORATORY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER D KNIGHT (EXEC VP/CFO)
(423) 230-8200
Entity
Organization
Contact information
Practice address
9480 HIGHWAY 805, JENKINS, KY 41537-8182
(606) 832-2171
Mailing address
1 MEDICAL PARK BLVD, BRISTOL, TN 37620-7430
(423) 844-4711
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65904294
—
KY
Enumeration date
11/18/2008
Last updated
11/18/2008
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