Organization
PRISMA HEALTH - BLOUNT MEMORIAL HOSPITAL INC.
Active
Other names
Blount Memorial Home Equipment Services, PH Home Equipment Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTI LAWRENCE (DIRECTOR OF ENROLLMENT AND CVO)
(865) 864-5228
Entity
Organization
Contact information
Practice address
531 HIGH STREET, MARYVILLE, TN 37804
(865) 980-5300
(865) 980-5305
Mailing address
531 HIGH ST, MARYVILLE, TN 37804-5829
(865) 980-5300
(865) 980-5305
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
#630
TN
332BX2000X
Oxygen Equipment & Supplies (DME)
#1655
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1454194
—
TN
01
—
4042681
BLUE CROSS BLUE SHIELD
TN
Enumeration date
09/22/2005
Last updated
11/20/2025
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