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MOUNTAIN STATES HEALTH ALLIANCE NPI 1891801734


NPI Information

NPI: 1891801734
Provider Name: MOUNTAIN STATES HEALTH ALLIANCE

Doing Business As: SYCAMORE SHOALS HOSPITAL

Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization
Address:
1501 W ELK AVE
ELIZABETHTON, TN
ZIP 37643
Phone: (423) 542-1300
Get Directions

MOUNTAIN STATES HEALTH ALLIANCE is a general acute care hospital in Elizabethton, 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 1891801734. The provider is registered as an organization entity type.
The provider Is Doing Business As Sycamore Shoals Hospital.

The provider's business location address is:

1501 W ELK AVE
ELIZABETHTON, TN
ZIP 37643-874
Phone: (423) 542-1300
Fax: (423) 543-5372

The provider's authorized official is Shane Edwin Hilton .
The authorized official title is Evp/cfo and has the following contact phone number (423) 302-3467.

The enumeration date for this NPI number is 8/22/2006 and was last updated on 4/16/2024.


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 Hospital0000000012TENNESSEEYes

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
1A3764317OTHERJOHN DEERE
2437730OTHERANTHEM
34764327MEDICAIDMICHIGAN
4004713038MEDICAIDGEORGIA
5091618800MEDICAIDFLORIDA
6SYC0018NMEDICAIDALABAMA
706322734MEDICAIDMISSISSIPPI
80699825OTHERCIGNA
94764336MEDICAIDMICHIGAN
100440018MEDICAIDTENNESSEE
11100020104OTHERPHP
121000224OTHERBLUE CROSS
134400018MEDICAIDNORTH CAROLINA

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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