MOUNTAIN STATES HEALTH ALLIANCE; NPI #1518079532

Contact Information

MOUNTAIN STATES HEALTH ALLIANCE

1901 S SHADY ST
MOUNTAIN CITY, TN 37683-2021

Phone: 423-727-1103
Fax: 423-727-1140
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rural Health	261QR1300X	B4[14]	Rural Health Clinic

Indicates primary specialty

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NPI Profile & details for MOUNTAIN STATES HEALTH ALLIANCE

NPI # 1518079532

LBN Legal business name MOUNTAIN STATES HEALTH ALLIANCE

Authorized official SHANE HILTON - (EVP/CFO)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/31/2006

Last updated 04/16/2024 - About 2 years ago

Identifiers

License #

0000000038

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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