MOUNTAIN STATES HEALTH ALLIANCE NPI 1992813240

NPI Information

NPI: 1992813240
Provider Name: MOUNTAIN STATES HEALTH ALLIANCE

Doing Business As: INDIAN PATH COMMUNITY HOSPITAL

Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization
Address:
2000 BROOKSIDE DR
KINGSPORT, TN
ZIP 37660
Phone: (423) 857-7000
Get Directions

MOUNTAIN STATES HEALTH ALLIANCE is a general acute care hospital in Kingsport, 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 1992813240. The provider is registered as an organization entity type.
The provider Is Doing Business As Indian Path Community Hospital.

The provider's business location address is:

2000 BROOKSIDE DR
KINGSPORT, TN
ZIP 37660-627
Phone: (423) 857-7000
Fax: (423) 857-7078

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 8/28/2006 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	282N00000X	General Acute Care Hospital		0000000134	TENNESSEE	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000363855X	MEDICAID	GEORGIA
2	01600113	MEDICAID	KENTUCKY
3	1000807	OTHER		BLUE CROSS
4	17505000	OTHER		MAGELLAN
5	004401760	MEDICAID	VIRGINIA
6	00672239	MEDICAID	MISSISSIPPI
7	0440176	MEDICAID	TENNESSEE
8	3457347	OTHER		CIGNA
9	0938025	MEDICAID	OHIO
10	A3766020	OTHER		JOHN DEERE
11	091618800	MEDICAID	FLORIDA
12	4400176	MEDICAID	NORTH CAROLINA
13	4699873	MEDICAID	MICHIGAN
14	000127730	MEDICAID	SOUTH CAROLINA
15	030138700	OTHER		BLACK LUNG
16	226529	OTHER		ANTHEM
17	4699882	MEDICAID	MICHIGAN

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

NPI Synchronization or Removal

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