Organization
WELLMONT HEALTH SYSTEM
Active
Other names
BRISTOL REGIONAL SNF
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER D. KNIGHT (EXEC. V.P. / CFO)
(423) 230-8200
Entity
Organization
Contact information
Practice address
1 MEDICAL PARK BLVD, BRISTOL, TN 37620-7430
(423) 844-1121
Mailing address
1 MEDICAL PARK BLVD, BRISTOL, TN 37620-7430
(423) 844-1121
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3005821
TN BLUE CROSS
TN
Enumeration date
07/03/2006
Last updated
11/12/2008
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