Organization · Type 2 NPI

Wellmont Health System

Skilled Nursing Facility · Kingsport, TN

NPI number 1053341545 Active

Practice location

130 W Ravine Rd
Kingsport, TN 37660-3810

Call (423) 224-4000 Map

Mailing address

1 Medical Park Blvd
Bristol, TN 37620-7430

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	None listed

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

179 other providers at this address

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NPI record

NPI: 1053341545
Entity type: Organization (Type 2)
Issued: Jul 3, 2006
Last updated: Nov 12, 2008
Status: Active
Subpart: Yes of Wellmont Health System

Other names

<unavail>
Holston Valley SNF · doing business as

Authorized official

Mr. Christopher D. Knight
Exec. V.p. / CFO
(423) 230-8200

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1053341545

Wellmont Health System's National Provider Identifier is 1053341545, issued on Jul 3, 2006. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Kingsport, TN. The record was last updated on Nov 12, 2008.