MOUNTAIN STATES HEALTH ALLIANCE; NPI #1073064333

Contact Information

MOUNTAIN STATES HEALTH ALLIANCE

400 N ST OF FRANKLIN RD
JOHNSON CITY, TN 37604

Phone: 423-431-5339
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Children	282NC2000X	A0[7]	Hospital-Childrenâ€™s (PPS excluded)

Indicates primary specialty

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NPI Profile & details for MOUNTAIN STATES HEALTH ALLIANCE

NPI # 1073064333

LBN Legal business name MOUNTAIN STATES HEALTH ALLIANCE

Authorized official SANDRA CASTRO - (MEDICAL DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/20/2016

Last updated 10/20/2016 - About 10 years ago

Identifiers

License #

21920

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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MOUNTAIN STATES HEALTH ALLIANCE

Contact Information

Specialty

Children

NPI Profile & details for MOUNTAIN STATES HEALTH ALLIANCE

Reviews for MOUNTAIN STATES HEALTH ALLIANCE