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MOUNTAIN STATES HEALTH ALLIANCE NPI 1023129376


NPI Information

NPI: 1023129376
Provider Name: MOUNTAIN STATES HEALTH ALLIANCE

Doing Business As: JOHNSON CITY SPECIALTY HOSPITAL

Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization
Address:
203 E WATAUGA AVE
JOHNSON CITY, TN
ZIP 37601
Phone: (423) 926-1111
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MOUNTAIN STATES HEALTH ALLIANCE is a general acute care hospital in Johnson City, TN. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. MOUNTAIN STATES HEALTH ALLIANCE NPI is 1023129376. The provider is registered as an organization entity type.
The provider Is Doing Business As Johnson City Specialty Hospital.

The provider's business location address is:

203 E WATAUGA AVE
JOHNSON CITY, TN
ZIP 37601-629
Phone: (423) 926-1111
Fax: (423) 979-6163

The provider's authorized official is Marvin H Eichorn .
The authorized official title is Svp/cfo and has the following contact phone number (423) 431-6111.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 8/12/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1282N00000XGeneral Acute Care Hospital0000000122TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1437727OTHERANTHEM
2A3760124OTHERJOHN DEERE
301600964MEDICAIDKENTUCKY
41000373OTHERBLUE CROSS
5004401051MEDICAIDVIRGINIA
6100020074OTHERPHP
74400105MEDICAIDNORTH CAROLINA
8440105MEDICARE OSCAR/CERTIFICATIONTENNESSEE
90700245OTHERCIGNA
100440105MEDICAIDTENNESSEE
11091618800MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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