Wellmont Health System

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

WELLMONT HEALTH SYSTEM

Doing business as

Holston Valley SNF

Practice address

130 W Ravine Rd
Kingsport, TN 37660-3810

Phone

(423) 224-4000

NPI assigned

Jul 3, 2006

Last updated

Nov 12, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

WELLMONT HEALTH SYSTEMAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Christopher D. Knight

Title

Exec. V.P. / Cfo

Phone

(423) 230-8200

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• HOLSTON VALLEY SNF Doing business as

Part of

Wellmont Lonesome Pine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226448000000",
    "number": "1053341545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PARK BLVD",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376207430",
            "telephone_number": "423-844-4711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W RAVINE RD",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376603810",
            "telephone_number": "423-224-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLMONT HEALTH SYSTEM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WELLMONT HEALTH SYSTEM",
        "enumeration_date": "2006-07-03",
        "last_updated": "2008-11-12",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "EXEC. V.P. / CFO",
        "authorized_official_telephone_number": "423-230-8200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TN BLUE CROSS",
            "identifier": "183962",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOLSTON VALLEY SNF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Weinhold
• Betty H Welch, PT
• Jennifer Hogans Welch, PMHNP-BC
• Wellmont Cardiology Services
• Wellmont Cardiology Services
• Wellmont Health System (Wellmont Madison House)
• Wellmont Health System (Cardiovascular Diagnostics at Meadowview)
• Wellmont Health System (Holston Valley Medical Center)
• Wellmont Health System
• Wellmont Health System (The Sleep Evaluation Center)

• Skilled Nursing Facility in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Skilled Nursing Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.