Organization
JOHNSTON MEMORIAL HOSPITAL, INC
Active
Other names
Johnston Memorial Sleep Lab
Organization subpart
No
Provider details
NPI number
Authorized official
MARY LYNN KRUTAK (EVP/CFO)
(423) 302-3423
Entity
Organization
Contact information
Practice address
3175 LINDEN DR STE 3-5, BRISTOL, VA 24202-5849
(276) 258-4734
(276) 258-4736
Mailing address
311 PRINCETON RD STE 1, JOHNSON CITY, TN 37601-2026
(276) 258-4734
(276) 258-4736
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
H 1864
VA
Other
Enumeration date
09/09/2015
Last updated
02/04/2019
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