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BRISTOL REGIONAL MEDICAL CENTER
NPI 1124058615
General Acute Care Hospital in Bristol, TN

Active since July 03, 2006CLIA 44D0310813 · Accreditation
1 MEDICAL PARK BLVD, BRISTOL, TN 37620(423) 844-1121 Get Directions Write a Review

NPPES record last updated: April 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 16, 2024, Oct 22, 2021, Sep 3, 2018 and 1 more (4 updates tracked since 2018).

About Bristol Regional Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRISTOL REGIONAL MEDICAL CENTER (NPI 1124058615) is a healthcare organization registered as a general acute care hospital in Bristol, Tennessee and active in the NPI registry since July 2006. The organization holds an CLIA Accreditation certificate valid through October 1, 2027 and lists Shane Edwin Hilton, Evp/cfo, as its authorized official.

NPPES Registry Identity

NPI1124058615
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameWELLMONT HEALTH SYSTEM
Location Address1 MEDICAL PARK BLVDBristol, TN 37620-7430
Mailing Address311 Princeton Rd Ste 1Johnson City, TN 37601-2026 · (423) 844-1121
Phone(423) 844-1121
Organization SubpartNo
Authorized OfficialShane Edwin HiltonEvp/cfo · (423) 302-3467
Enumeration DateJuly 3, 2006
Last NPPES UpdateApril 16, 20244 updates tracked since enumeration
NPPES CertifiedApril 16, 2024
✔ NPI 1124058615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
1 MEDICAL PARK BLVD, Bristol, TN 37620
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Other Names 1

Doing Business AsBristol Regional Medical Center

Other Identifiers 12

Other6530115TN · Aetna
Medicaid004400127VA
Other1377051TN · Umwa
Other240867VA · Anthem
MedicaidA3762106TN
Other1000319TN · Tn Blue Cross
Medicaid10260BSC
OtherA3762106TN · Uhc River Valley
Medicaid100020309TN
Other033361400TN · Black Lung
Medicaid0440012TN
Other166592403TN · Postal Workers Dept Lab

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 44D0310813

Bristol Regional Medical Center · Bristol, TN
Active · expires Oct 1, 2027
CLIA Number44D0310813
Laboratory TypeHospital
Certificate Effective DateOctober 2, 2025
Certificate Expiration DateOctober 1, 2027
Laboratory DirectorDr. Roger J. Mcsharry
Laboratory Phone(423) 844-4152
Laboratory LocationBristol Regional Medical CenterAttn Respiratory Therapy 1 Medical Park Blvd, Bristol, TN 37620
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CASSONDRA NICHOLE COMPTON CRNA
Nurse Anesthetist, Certified Registered
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 844-2686
DAVID R HUDGENS M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 844-3220
DR. JEAN MARIE MANCINI M.D.
Internal Medicine
1 MEDICAL PARK BLVD, STE 450W
BRISTOL, TN 37620
Sullivan County (423) 968-3713
THOMAS A KITTS MD
Emergency Medicine
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 844-2100
LAURA ANN ELLER AGACNP
Nurse Practitioner (Critical Care Medicine)
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 844-1121
DR. WALTER DAVIS ARNOLD JR. MD
Internal Medicine
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 282-1480
DR. KARL E LAWRENCE M.D.
Internal Medicine
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 844-1121
DR. MICHAEL WAYNE RENTZ MD
Pathology (Anatomic Pathology & Clinical Pathology)
1 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 844-3220

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wellmont Health System's NPI number?

The NPI number for Wellmont Health System is 1124058615. It was assigned to this organization in the NPPES registry on July 3, 2006. The provider is doing business as Bristol Regional Medical Center.

Where is Wellmont Health System located?

Wellmont Health System is located at 1 Medical Park Blvd, Bristol, TN 37620. The listed phone number is (423) 844-1121.

What is Wellmont Health System's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Does Wellmont Health System hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 44D0310813) is associated with this NPI, valid through October 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wellmont Health System accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Wellmont Health System as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wellmont Health System was last updated on April 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.