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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