Organization
SMYTH COUNTY COMMUNITY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY LYNN KRUTAK (SVP/CFO)
(423) 302-3374
Entity
Organization
Contact information
Practice address
1152 SNIDER ST, MARION, VA 24354-4216
(276) 782-9696
(276) 782-9886
Mailing address
311 PRINCETON RD, JOHNSON CITY, TN 37601-2026
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009114726
—
VA
Enumeration date
01/16/2007
Last updated
11/03/2015
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