Wellmont Health System

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

WELLMONT HEALTH SYSTEM

Doing business as

Jenkins Family Care Center

Practice address

9480 Highway 805
Jenkins, KY 41537-8182

Phone

(606) 832-2171

NPI assigned

Oct 24, 2007

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

Cfo/Exec. V.P.

Phone

(423) 230-8200

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• JENKINS FAMILY CARE CENTER Doing business as

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226448000000",
    "number": "1972782175",
    "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": "423-844-4711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9480 HIGHWAY 805",
            "city": "JENKINS",
            "state": "KY",
            "postal_code": "415378182",
            "telephone_number": "606-832-2171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLMONT HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "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": "CFO/EXEC. V.P.",
        "authorized_official_telephone_number": "423-230-8200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31000888",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JENKINS FAMILY CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Colleen R Walsh, ARNP
• Wellmont Health System (Jenkins Community Hospital)
• Wellmont Health System (Jenkins Community Hospital Laboratory)
• Wellmont Health System (Jenkins Swing Bed)
• Wellmont Health System (Jenkins Profees)
• Wellmont Physician Services Dba Jenkins Family Care Center (Jenkins Family Care Ctr, Virgie Family Medical Ctr, Elkhorn City Clini)
• Wellmont Physician Services Inc (Jenkins Surgical Associates)
• Whitesburg Medical Center Pharmacy, Inc.
• William M Collins (Sterling Primary Care)
• Tommy Williams

• Clinic/Center in Jenkins, KY
• Providers in Jenkins, KY by specialty
• Clinic/Center in Kentucky

• 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.