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MOUNTAIN STATES HEALTH ALLIANCE NPI 1114033628


NPI Information

NPI: 1114033628
Provider Name: MOUNTAIN STATES HEALTH ALLIANCE

Doing Business As: FRANKLIN WOODS COMMUNITY HOSPITAL

Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization
Address:
300 MED TECH PKWY
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 302-1100
Get Directions

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 1114033628. The provider is registered as an organization entity type.
The provider Is Doing Business As Franklin Woods Community Hospital.

The provider's business location address is:

300 MED TECH PKWY
JOHNSON CITY, TN
ZIP 37604-277
Phone: (423) 302-1100
Fax: (423) 302-1129

The provider's authorized official is Mary Lynn Krutak .
The authorized official title is Evp/cfo and has the following contact phone number (423) 302-3423.

The enumeration date for this NPI number is 8/21/2006 and was last updated on 10/20/2021.


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 Hospital0000000123TENNESSEEYes

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
108001831MEDICAIDMISSISSIPPI
2030508600OTHERBLACK LUNG
31000381OTHERBLUE CROSS
4004401841MEDICAIDVIRGINIA
50440184MEDICAIDTENNESSEE
64703653MEDICAIDMICHIGAN
70100675MEDICAIDKENTUCKY
80657632MEDICAIDOHIO
9100020098OTHERPHP
10437728OTHERANTHEM
11091618800MEDICAIDFLORIDA
124400184MEDICAIDNORTH CAROLINA
13A3760127OTHERJOHN DEERE
140700329OTHERCIGNA

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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