Organization
JOHNSTON MEMORIAL HOSPITAL, INC
Active
Parent organization
JOHNSTON MEMORIAL HOSPITAL, INC
Other names
Johnston Memorial Home Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
JOHNSTON MEMORIAL HOSPITAL, INC
Authorized official
MARY LYNN KRUTAK (EVP/CFO)
(423) 302-3423
Entity
Organization
Contact information
Practice address
312 CUMMINGS ST, ABINGDON, VA 24210-3230
(276) 525-1227
(276) 525-1236
Mailing address
311 PRINCETON RD STE 1, JOHNSON CITY, TN 37601-2026
(276) 252-1277
(276) 525-1236
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
H1864
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004973411
—
VA
01
—
114600
ANTHEM BLUE CROSS
VA
Enumeration date
06/15/2006
Last updated
02/12/2018
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