Healthcare Provider Details

I. General information

NPI: 1033148606
Provider Name (Legal Business Name): BLOUNT MEMORIAL OCCUPATIONAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 ASSOCIATES BLVD
ALCOA TN
37701-1943
US

IV. Provider business mailing address

220 ASSOCIATES BLVD
ALCOA TN
37701-1943
US

V. Phone/Fax

Practice location:
  • Phone: 865-981-0100
  • Fax: 865-681-2967
Mailing address:
  • Phone: 865-981-0100
  • Fax: 865-681-2967

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. JANE NELSON
Title or Position: ASSISTANT ADMINISTRATRATOR
Credential:
Phone: 865-981-2310