NPIMap

Organization Active NPI

Wellmont Health System

Doing business as Jenkins Swing Bed

  • Medicare Defined Swing Bed Hospital Unit
  • Jenkins, KY
National Provider Identifier
1700079167
Registry record updated Nov 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
WELLMONT HEALTH SYSTEM
Doing business as
Jenkins Swing Bed
Practice address
9480 Highway 805
Jenkins, KY 41537-0472
Phone
(606) 832-2171
NPI assigned
Aug 20, 2007
Last updated
Nov 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2008

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

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X NU Primary

Addresses

Primary practice location

9480 Highway 805
Jenkins, KY 41537-0472

Mailing address

1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (423) 844-4509

Other names 1

  • JENKINS SWING BED Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226448000000",
    "number": "1700079167",
    "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": "423-844-4509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9480 HIGHWAY 805",
            "city": "JENKINS",
            "state": "KY",
            "postal_code": "415370472",
            "telephone_number": "606-832-2171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLMONT HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "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": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JENKINS SWING BED",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jenkins, KY

Sources for this page

  • 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.