| Wellmont Health System | |
|
415 Highway 610 West Suite 100 Virgie KY 41572 | |
| (606) 639-0855 | |
| Not Available |
| Full Name | Wellmont Health System |
|---|---|
| Speciality | Clinic/center |
| Location | 415 Highway 610 West Suite 100, Virgie, Kentucky |
| Authorized Official Name and Position | Christopher D. Knight (EXEC. V.P. / CFO) |
| 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 415 Highway 610 West Suite 100 Virgie KY 41572 Ph: (606) 639-0855 |
| NPI Number | 1184812174 |
|---|---|
| Provider Enumeration Date | 10/04/2007 |
| Last Update Date | 11/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184812174 | NPI | - | NPPES |
| 31000896 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Jenkins Healthcare Company Dba Jenkins Community Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 Highway 610 West Suite 100, Virgie, KY 41572 Phone: 606-639-0855 Fax: 606-639-2826 | |
Wellmont Physician Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 Hwy 610 W, Suite 100, Virgie, KY 41572 Phone: 606-639-0855 Fax: 606-639-2826 |