NPIMap

Organization Active NPI

Wellmont Health System Inc

  • Home Health Agency
  • Abingdon, VA
National Provider Identifier
1427039734
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
WELLMONT HEALTH SYSTEM INC
Practice address
988 W Main St
Suite C
Abingdon, VA 24210-2428
Phone
(276) 676-3138
Fax
(276) 676-0921
NPI assigned
Nov 14, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Carol J Kawchak
Title
Interim Director
Phone
(423) 230-8475

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

988 W Main St
Suite C
Abingdon, VA 24210-2428

Mailing address

2971 Fort Henry Dr
Kingsport, TN 37664-4005
Phone (423) 230-8443

Other identifiers 1

IdentifierTypeStateIssuer
4971035MedicaidVA

Other names 1

  • Commonwealth Home Health Other name

National Provider Directory

National Provider Directory
Tax ID family
Wellmont Lonesome Pine25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

Organizations that report the same tax identification number in the National Provider Directory.

View all 24

Locations

988 W Main St
Unit C
Abingdon, VA 24210
Phone (276) 676-3138

NPI Registry JSON

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427039734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2971 FORT HENRY DR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376644005",
            "telephone_number": "423-230-8443",
            "fax_number": "423-845-7874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "988 W MAIN ST",
            "address_2": "SUITE C",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242102428",
            "telephone_number": "276-676-3138",
            "fax_number": "276-676-0921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLMONT HEALTH SYSTEM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KAWCHAK",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "INTERIM DIRECTOR",
        "authorized_official_telephone_number": "423-230-8475",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4971035",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Commonwealth Home Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Abingdon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.