| Woodridge Hospital | |
|
403 N State Of Franklin Rd Johnson City TN 37604-6034 | |
| (423) 431-7111 | |
| (423) 431-7301 |
| Full Name | Woodridge Hospital |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 403 N State Of Franklin Rd, Johnson City, Tennessee |
| Authorized Official Name and Position | Shane Edwin Hilton (EVP/CFO) |
| Authorized Official Contact | 4233023467 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodridge Hospital 311 Princeton Rd Ste 1 Johnson City TN 37601-2026 Ph: (423) 431-7111 | Woodridge Hospital 403 N State Of Franklin Rd Johnson City TN 37604-6034 Ph: (423) 431-7111 |
| NPI Number | 1023434339 |
|---|---|
| Provider Enumeration Date | 03/11/2014 |
| Last Update Date | 04/16/2024 |
| Certification Date | 04/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023434339 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 0000000121 (Tennessee) | Primary |
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