MOUNTAIN STATES HEALTH ALLIANCE NPI 1487983003

NPI Information

NPI: 1487983003
Provider Name: MOUNTAIN STATES HEALTH ALLIANCE
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
301 MED TECH PKWY
SUITE 100
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 610-6226
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MOUNTAIN STATES HEALTH ALLIANCE is a radiology clinic center in Johnson City, TN. MOUNTAIN STATES HEALTH ALLIANCE NPI is 1487983003. The provider is registered as an organization entity type.

The provider's business location address is:

301 MED TECH PKWY
SUITE 100
JOHNSON CITY, TN
ZIP 37604-364
Phone: (423) 610-6226
Fax: (423) 283-7340

The provider's authorized official is Linda Frazier .
The authorized official title is Director Of Diagnostic Imaging and has the following contact phone number (423) 431-6471.

The enumeration date for this NPI number is 12/10/2009 and was last updated on 12/10/2009.

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	261QR0200X	Clinic/Center	Radiology	MDX0000005568	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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