MOUNTAIN STATES HEALTH ALLIANCE NPI 1033225206

NPI Information

NPI: 1033225206
Provider Name: MOUNTAIN STATES HEALTH ALLIANCE

Doing Business As: BALLAD HEALTH HOSPICE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

Address:
509 MED TECH PKWY STE 300
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 431-6146
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MOUNTAIN STATES HEALTH ALLIANCE is a hospice care community based in Johnson City, TN. MOUNTAIN STATES HEALTH ALLIANCE NPI is 1033225206. The provider is registered as an organization entity type.
The provider Is Doing Business As Ballad Health Hospice.

The provider's business location address is:

509 MED TECH PKWY STE 300
JOHNSON CITY, TN
ZIP 37604-579
Phone: (423) 431-6146
Fax: (423) 431-7655

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 CLIA number assigned to this NPI record is 44D1103439 - blood bank with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/21/2006 and was last updated on 12/19/2018.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based		0000000390	TENNESSEE	Yes

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: 4/28/2024

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