Wellmont Health System

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

WELLMONT HEALTH SYSTEM

Doing business as

Bristol Regional SNF

Practice address

1 Medical Park Blvd
Bristol, TN 37620-7430

Phone

(423) 844-1121

NPI assigned

Jul 3, 2006

Last updated

Nov 12, 2008By the provider in NPPES

Organization subpart

No

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

• BRISTOL REGIONAL SNF Doing business as

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": "1720018229",
    "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": "423-844-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PARK BLVD",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376207430",
            "telephone_number": "423-844-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLMONT HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "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": "3005821",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRISTOL REGIONAL SNF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wellmont Health Services Inc (Wellmont Home Medical Equip/Infusion Network)
• Wellmont Health Services, Inc
• Wellmont Health System (Bristol Regional Medical Center)
• Wellmont Health System (Bristol Regional Medical Center Psychiatric Unit)
• Wellmont Health System (Volunteer Parkway Imaging Center)
• Wellmont Health System (Bristol Hospice House)
• Wellmont Health System Bristol Crna Professional Group
• Wellmont Health System, Inc
• Wellmont Medical Associates Inc (Ballad Health Medical Associates)
• Wellmont Medical Associates, Inc. (Ballad Health Medical Associates)

• Skilled Nursing Facility in Bristol, TN
• Providers in Bristol, 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.