National Provider Identifier Database

JAMES H QUILLEN VA MEDICAL CENTER
Critical Access


Contact Information

JAMES H. QUILLEN VA MEDICAL CENTER
JAMES H. QUILLEN/VAMC
CORNER OF SIDNEY AND LAMONT (JOHNSON CITY)
MOUNTAIN HOME, TN37684
Phone: 423-926-1171
Fax: 423-979-3558
Website:
Specialty Taxonomy Code
* Critical Access 282NC0060X

* Indicates primary specialty

NPI Profile & details for JAMES H. QUILLEN VA MEDICAL CENTER

NPI Number 1386673283
Legal business name
LBN
JAMES H. QUILLEN VA MEDICAL CENTER
Authorized official HARBER WOOD - (ER DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 07/02/2006
Last updated 07/21/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • TN License #: 029967

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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