NPIMap

Organization Active NPI

Wellmont Health System, Inc

  • Home Health Agency
  • Bristol, TN
National Provider Identifier
1902887680
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
0000000248 Issued in TN
Legal business name
WELLMONT HEALTH SYSTEM, INC
Practice address
240 Medical Park Blvd
Suite 2600
Bristol, TN 37620-7346
Phone
(423) 844-5530
NPI assigned
Nov 9, 2005
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 0000000248 TN Primary

Addresses

Primary practice location

240 Medical Park Blvd
Suite 2600
Bristol, TN 37620-7346

Mailing address

240 Medical Park Blvd
Suite 2600
Bristol, TN 37620-7346
Phone (423) 844-5530

Other names 1

  • Wellmont Bristol Regional Medical Center Home Health Other name

National Provider Directory

National Provider Directory
Tax ID family
Wllmnt Bristol PK Blvd25 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

NPI Registry JSON

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902887680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 MEDICAL PARK BLVD",
            "address_2": "SUITE 2600",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376207346",
            "telephone_number": "423-844-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 MEDICAL PARK BLVD",
            "address_2": "SUITE 2600",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376207346",
            "telephone_number": "423-844-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLMONT HEALTH SYSTEM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-09",
        "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": "TN",
            "license": "0000000248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellmont Bristol Regional Medical Center Home Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bristol, TN

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.