TAKOMA REGIONAL HOSPITAL INC. NPI 1861857567

NPI Information

  • NPI: 1861857567
  • Provider Name: TAKOMA REGIONAL HOSPITAL, INC.
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • Doing Business As: BALLAD HEALTH MEDICAL ASSOCIATES
  • CLIA Number: 44D2225307
  • Address: 5000 MONARCH PT
    GREENEVILLE, TN
    ZIP 37745
  • Phone: (423) 798-6630

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NPI Details

TAKOMA REGIONAL HOSPITAL, INC. is a pediatrics in Greeneville, TN. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. TAKOMA REGIONAL HOSPITAL, INC. NPI is 1861857567. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Ballad Health Medical Associates.

The provider's business location address is:

5000 MONARCH PT
GREENEVILLE, TN
ZIP 37745-275
Phone: (423) 798-6630

The provider's authorized official is Gregory Lee Wilgocki .
The authorized official title is Vp Reimbursement and has the following contact phone number (423) 431-5794.

The CLIA number assigned to this NPI record is 44D2225307 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/22/2015 and was last updated on 2/20/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsYes

What is NPI?

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This page was last updated on: 3/30/2025

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