NPIMap

Organization Active NPI

Johnston Memorial Hospital, Inc

  • General Acute Care Hospital
  • Bristol, VA
National Provider Identifier
1710355649
Registry record updated Feb 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
H 1864 Issued in VA
Legal business name
JOHNSTON MEMORIAL HOSPITAL, INC
Practice address
3175 Linden Dr Ste 3-5
Bristol, VA 24202-5849
Phone
(276) 258-4734
Fax
(276) 258-4736
NPI assigned
Sep 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2019

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

Authorized official

Name
Mary Lynn Krutak
Title
Evp/Cfo
Phone
(423) 302-3423

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X H 1864 VA Primary

Addresses

Primary practice location

3175 Linden Dr Ste 3-5
Bristol, VA 24202-5849

Mailing address

311 Princeton Rd Ste 1
Johnson City, TN 37601-2026
Phone (276) 258-4734

Other names 1

  • Johnston Memorial Sleep Lab Doing business as

National Provider Directory

National Provider Directory
Tax ID family
JMH Ta Mt Spring Familgrp9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

3175 Linden Dr
Ste 35
Bristol, VA 24202
Phone (276) 258-4734

NPI Registry JSON

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549238400000",
    "number": "1710355649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 PRINCETON RD STE 1",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376012026",
            "telephone_number": "276-258-4734",
            "fax_number": "276-258-4736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3175 LINDEN DR STE 3-5",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242025849",
            "telephone_number": "276-258-4734",
            "fax_number": "276-258-4736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSTON MEMORIAL HOSPITAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-09",
        "last_updated": "2019-02-04",
        "status": "A",
        "authorized_official_last_name": "KRUTAK",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "EVP/CFO",
        "authorized_official_telephone_number": "423-302-3423"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "VA",
            "license": "H 1864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Johnston Memorial Sleep Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bristol, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; 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.