| Wellmont Health System | |
|
257 Russell Street Elkhorn City KY 41522 | |
| (606) 754-4949 | |
| Not Available |
| Full Name | Wellmont Health System |
|---|---|
| Speciality | Clinic/center |
| Location | 257 Russell Street, Elkhorn City, Kentucky |
| Authorized Official Name and Position | Christopher D. Knight (CFO/EXEC. V.P.) |
| Authorized Official Contact | 4232308200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellmont Health System 1 Medical Park Blvd Bristol TN 37620-7430 Ph: (423) 844-4711 | Wellmont Health System 257 Russell Street Elkhorn City KY 41522 Ph: (606) 754-4949 |
| NPI Number | 1093903080 |
|---|---|
| Provider Enumeration Date | 10/04/2007 |
| Last Update Date | 11/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093903080 | NPI | - | NPPES |
| 31000870 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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