Organization
TAKOMA REGIONAL HOSPITAL INC
Active
Other names
GREENEVILLE COMMUNITY HOSPITAL, Ballad Health Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE EDWIN HILTON (EVP/CFO)
(423) 302-3467
Entity
Organization
Contact information
Practice address
1420 TUSCULUM BLVD, GREENEVILLE, TN 37745-4279
(423) 787-5000
(423) 787-5147
Mailing address
311 PRINCETON RD STE 1, JOHNSON CITY, TN 37601-2080
(423) 787-5000
(423) 787-5147
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100020449
PREFERRED HEALTH
TN
01
—
3774303
JOHN DEERE
TN
01
—
4147074
BLUE CROSS
TN
Enumeration date
02/18/2007
Last updated
04/22/2025
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