| Johnston Memorial Hospital, Inc | |
|
16000 Johnston Memorial Dr Abingdon VA 24211-7664 | |
| (276) 258-1000 | |
| (276) 258-2805 |
| Full Name | Johnston Memorial Hospital, Inc |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 16000 Johnston Memorial Dr, Abingdon, Virginia |
| Authorized Official Name and Position | Shane Edwin Hilton (EVP/CFO) |
| Authorized Official Contact | 4233023467 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Johnston Memorial Hospital, Inc 311 Princeton Rd Ste 1 Johnson City TN 37601-2026 Ph: (276) 258-1000 | Johnston Memorial Hospital, Inc 16000 Johnston Memorial Dr Abingdon VA 24211-7664 Ph: (276) 258-1000 |
| NPI Number | 1104812684 |
|---|---|
| Provider Enumeration Date | 09/21/2005 |
| Last Update Date | 05/29/2025 |
| Certification Date | 05/29/2025 |
| Medicare PECOS PAC ID | 6103725668 |
|---|---|
| Medicare Enrollment ID | O20071210000249 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104812684 | NPI | - | NPPES |
| 142849 | Other | VA | BLUE CROSS REF. LAB |
| CB9307 | Other | VA | RR MEDICARE |
| 1104812684 | Medicaid | VA | |
| 007658 | Other | VA | ANTHEM BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Secondary |
| 282N00000X | General Acute Care Hospital | H1864 (Virginia) | Primary |
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