| Organization Name: | BLOUNT MEMORIAL HOSPITAL, INC. |
| NPI Number: | 1023004363 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | I DONALD HEINEMANN (CHIEF EXECUTIVE OFFICER) |
| Mailing Address: | 907 E Lamar Alexander Pkwy Maryville |
| State: | TN US |
| Postal Code: | 378045015 |
| Phone Number: | 8659812172 |
| Fax Number: | 8659812258 |
| NPI Enumeration Date: | 09/22/2005 |
| NPI Last Update Date: | 11/09/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251F00000X |
| License Number: | 0336390001 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Home Infusion |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |