Organization
WELLMONT HEALTH SYSTEM
Active
Other names
Bristol Regional Medical Center Psychiatric Unit
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE EDWIN HILTON (EVP/CFO)
(423) 302-3467
Entity
Organization
Contact information
Practice address
1 MEDICAL PARK BLVD, BRISTOL, TN 37620
(423) 844-1121
Mailing address
311 PRINCETON RD STE 1, JOHNSON CITY, TN 37601-2026
(423) 844-1121
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3162433
TN BLUE CROSS
TN
Enumeration date
07/03/2006
Last updated
04/16/2024
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