Healthcare Provider Details

I. General information

NPI: 1164498994
Provider Name (Legal Business Name): BLOUNT MEMORIAL HOSPITAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2006
Last Update Date: 11/30/2022
Certification Date: 11/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2320 E LAMAR ALEXANDER PKWY
MARYVILLE TN
37804-5316
US

IV. Provider business mailing address

2320 E LAMAR ALEXANDER PKWY
MARYVILLE TN
37804-5316
US

V. Phone/Fax

Practice location:
  • Phone: 865-273-8300
  • Fax: 865-273-8367
Mailing address:
  • Phone: 865-273-8300
  • Fax: 865-273-8367

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number0000000365
License Number StateTN

VIII. Authorized Official

Name: DR. GEORGE HAROLD NARAMORE
Title or Position: CEO
Credential: MD
Phone: 865-977-5533