Exhibit 3.189

COMMONWEALTH OF VIRGINIA

STATE CORPORATION COMMISSION

ARTICLES OF ORGANIZATION OF A

DOMESTIC LIMITED LIABILITY COMPANY

Pursuant to Chapter 12 of Title 13.1 of the Code of Virginia the undersigned states as follows:

1. The name of the limited liability company is

Lewis-Gale Physicians, LLC

(The name must contain the words “limited company” or “limited liability company’ or the abbreviation “L.C.”, “L.L.C.” or “LLC”)

2. A. The name of the limited liability company’s initial registered agent is

C T Corporation System

B. The registered agent is (mark appropriate box):

(1) an INDIVIDUAL who is a resident of Virginia and

¨ a member or manager of the limited liability company.

¨ a member or manager of a limited liability company that is a member or manager of the limited liability company,

¨ an officer or director of a corporation that is a member or manager of the limited liability company.

¨ a general partner of a general or limited partnership that is a member or manager of the limited liability company.

¨ a trustee of a trust that is a member or manager of the limited liability company.

¨ a member of the Virginia State Bar.

OR

(2) x     a domestic or foreign stock or nonstock corporation, limited liability company or registered

limited liability partnership authorized to transact business in Virginia.

3. The limited liability company’s initial registered office address, including the street and number, if any, which is identical to the business office of the initial registered agent, is

4701 Cox Road, Suite 301	Glen Allen	VA	23060 - 680
(number/street)	(city or town)		(zip)

which is physically located in the x county or ¨ city of Henrico.

4. The limited liability company’s principal office address, including the street and number, if any, is

One Park Plaza	Nashville	TN	37203
(number/street)	(city or town)	(state)	(zip)

5. Organizer:

	08/26/2005
(signature)	(date)
Dora A. Blackwood	615/344-2162
(printed name)	(telephone number (optional)

SEE INSTRUCTIONS ON THE REVERSE

COMMONWEALTH OF VIRGINIA

STATE CORPORATION COMMISSION

AT RICHMOND, AUGUST 30, 2005

The State Corporation Commission has found the accompanying articles submitted on behalf of Lewis-Gale Physicians, LLC to comply with the requirements of law, and confirms payment of all required fees. Therefore, it is ORDERED that this

CERTIFICATE OF ORGANIZATION

be issued and admitted to record with the articles of organization in the Office of the Clerk of the Commission, effective August 30, 2005.

STATE CORPORATION COMMISSION
By
	Commissioner

COMMONWEALTH OF VIRGINIA

STATE CORPORATION COMMISSION

ARTICLES OF ORGANIZATION OF A

DOMESTIC LIMITED LIABILITY COMPANY

Pursuant to Chapter 12 of Title 13.1 of the Code of Virginia the undersigned states as follows:

1. The name of the limited liability company is

Lewis-Gale Physicians, LLC

(The name must contain the words ‘limited company’ or “limited liability company” or the abbreviation “L.C.”, “L.L.C.” or “LLC”)

2. A. The name of the limited liability company’s initial registered agent is

C T Corporation System

B. The registered agent is (mark appropriate box):

(1) an INDIVIDUAL who is a resident of Virginia and

¨ a member or manager of the limited liability company.

¨ a member or manager of a limited liability company that is a member or manager of the limited liability company,

¨ an officer or director of a corporation that is a member or manager of the limited liability company.

¨ a general partner of a general or limited partnership that is a member or manager of the limited liability company.

¨ a trustee of a trust that Is a member or manager of the limited liability company.

¨ a member of the Virginia State Bar.

OR

(2) x     a domestic or foreign stock or nonstock corporation, limited liability company or registered

limited liability partnership authorized to transact business in Virginia.

3. The limited liability company’s initial registered office address, including the street and number, if any, which is identical to the business office of the initial registered agent, is

4701 Cox Road, Suite 301	Glen Allen	VA	23060 - 6802
(number/street)	(city or town)		(zip)

which is physically located in the x county or ¨ city of Henrico.

4. The limited liability company’s principal office address, including the street and number, if any, is

One Park Plaza	Nashville	TN	37203
(number/street)	(city or town)	(State)	(zip)

5. Organizer:

	08/26/2005
(signature)	(date)
Dora A. Blackwood	615/344-2162
(printed name)	(telephone number (optional)

SEE INSTRUCTIONS ON THE REVERSE