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Organization

PRISMA HEALTH - BLOUNT MEMORIAL HOSPITAL INC.

Active
Other names
PH Blount Memorial Hospital, Blount Memorial Hospital
Organization subpart
No

Provider details

NPI number
Authorized official
KRISTI ANN LAWRENCE (DIRECTOR PROVIDER ENROLLMENT)
(864) 522-8611
Entity
Organization

Contact information

Practice address
907 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804-5015
(865) 983-7211
(865) 980-4868
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0440011
TN
01
0701652
CIGNA COMMERCIAL
TN
01
100020066
PHP TENN CARE
TN
01
1000213
BLUE CROSS ACUTE CARE
TN
Enumeration date
04/03/2006
Last updated
11/20/2025
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