Organization
DICKENSON COMMUNITY HOSPITAL, INC.
Active
Organization
DICKENSON COMMUNITY HOSPITAL, INC.
Active
Other names
Dickenson Swing Bed Unit
Organization subpart
No
Provider details
NPI number
Authorized official
MARY LYNN KRUTAK (EVP/CFO)
(423) 302-3423
Entity
Organization
Contact information
Practice address
312 HOSPITAL DR, CLINTWOOD, VA 24228-6786
(276) 926-0300
(276) 926-0329
Mailing address
311 PRINCETON RD STE 1, JOHNSON CITY, TN 37601-2026
(276) 926-0300
(276) 926-0329
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
—
—
Other
Enumeration date
01/17/2007
Last updated
02/05/2018
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