Mountain States Health Alliance in Johnson City - Home Health
Mountain States Health Alliance - NPI 1396717963
Mountain States Health Alliance is a Home Health in Johnson City, Tennessee. Mountain States Health Alliance practices all healthcare services and medical treatments related to Home Health. The NPI Number for Mountain States Health Alliance is 1396717963. The last update date is 2019-04-01.
Mountain States Health Alliance's current location address is 311 Princeton Rd Ste 1, Johnson City, Tennessee. You can contact this provider via phone number 4237875030 and fax number 4237875009. The mailing address for Mountain States Health Alliance is 311 Princeton Rd Ste 1, Johnson City, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mountain States Health Alliance |
|---|---|
| Address | 311 Princeton Rd Ste 1, Johnson City, Tennessee |
| Phone Number | 4237875030 |
| Fax Number | 4237875009 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EVP/CFO |
|---|---|
| Authorized Official Name | Krutak Lynn Mary |
| Telephone Number | 4233023423 |
NPI Number Detail
| NPI Number | 1396717963 |
|---|---|
| Provider Enumeration Date | 2006-02-07 |
| Last Updated Date | 2019-04-01 |
Provider Mailing Address Detail
| Address | 311 Princeton Rd Ste 1 |
|---|---|
| City | Johnson City |
| State | Tennessee (TN) |
| Post Code | 376012026 |
| Phone Number | 4237875030 |
| Fax Number | 4237875009 |
Provider's Primary Taxonomy Detail
| Speciality | Home Health |
|---|---|
| Taxonomy | 251E00000X |
| Licence No | 88 |
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Definition: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 044-7428 | TN | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Mountain States Health Alliance?
The Mountain States Health Alliance has been issued the NPI (National Provider Identifier) 1396717963 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Mountain States Health Alliance is physically located?
The Mountain States Health Alliance is situated at the following address: 311 Princeton Rd Ste 1, Johnson City, TN 376012026.
What is the Mountain States Health Alliance's area of specialization and corresponding taxonomy classification?
The Mountain States Health Alliance's specialty field is Home Health, and it falls under the taxonomy code 251E00000X, which categorizes healthcare providers based on their specialties.
When was the Mountain States Health Alliance's 1396717963 issued?
The Mountain States Health Alliance's 1396717963 was issued on 2006-02-07.
As of what date was the information regarding Mountain States Health Alliance, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mountain States Health Alliance, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-04-01.