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1689580862 NPI number — WELLMONT HEALTH SYSTEM

NPI Number: 1689580862
Health Care Provider/Practitioner: WELLMONT HEALTH SYSTEM

Information about “1689580862” NPI (WELLMONT HEALTH SYSTEM) exists in 1689580862 in HTML format HTML  |  1689580862 in plain Text format TXT  |  1689580862 in PDF (Portable Document Format) PDF  |  1689580862 in an XML format XML  formats.

NPI Number : 1689580862 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1689580862",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "WELLMONT HEALTH SYSTEM",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "311 PRINCETON RD STE 1",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "JOHNSON CITY",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "37601-2080",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "423-434-3113",
    "MailingAddressFaxNumber": "423-431-1244",
    "FirstLinePracticeLocationAddress": "310 3RD ST NE STE 300",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NORTON",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "24273-1137",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "276-679-9102",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/19/2026",
    "LastUpdateDate": "08/19/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "HILTON",
    "AuthorizedOfficialFirstName": "SHANE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CFO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "423-431-5794",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "324500000X",
        "TaxonomyName": "Substance Abuse Rehabilitation Facility",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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