Mountain States Health Alliance in Johnson City - Critical Access
Mountain States Health Alliance - NPI 1497859789
Mountain States Health Alliance is a Critical Access in Johnson City, Tennessee. Mountain States Health Alliance practices all healthcare services and medical treatments related to Critical Access. The NPI Number for Mountain States Health Alliance is 1497859789. The last update date is 2021-10-20.
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 4237271100 and fax number 4237271112. 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 | 4237271100 |
| Fax Number | 4237271112 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EVP/CFO |
|---|---|
| Authorized Official Name | Krutak Lynn Mary |
| Telephone Number | 4233023423 |
NPI Number Detail
| NPI Number | 1497859789 |
|---|---|
| Provider Enumeration Date | 2006-09-08 |
| Last Updated Date | 2021-10-20 |
Provider Mailing Address Detail
| Address | 311 Princeton Rd Ste 1 |
|---|---|
| City | Johnson City |
| State | Tennessee (TN) |
| Post Code | 376012026 |
| Phone Number | 4237271100 |
| Fax Number | 4237271112 |
Provider's Primary Taxonomy Detail
| Speciality | Critical Access |
|---|---|
| Taxonomy | 282Nc0060X |
| Licence No | 38 |
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Definition: Small, rural hospital meeting location and service criteria that allow it to receive cost-based Medicare and Medicaid reimbursement. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 441304 | TN | -- | |
| 4001915 | BLUE CROSS | ||
| 4401304 | NC | -- | |
| 91618800 | FL | -- | |
| 11500B | SC | -- | |
| 2669036 | CIGNA | ||
| 3810001915 | WV | -- | |
| 93633835A | GA | -- | |
| A3768308 | JOHN DEERE | ||
| 4413041 | VA | -- |
Post Comment/ Review Below
What is the Mountain States Health Alliance's 1497859789?
The Mountain States Health Alliance's NPI (National Provider Identifier) Number is 1497859789. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Mountain States Health Alliance located?
The Mountain States Health Alliance is located at 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 Critical Access, and it falls under the taxonomy code 282Nc0060X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1497859789 to Mountain States Health Alliance?
The Centers for Medicare & Medicaid Services originally issued the 1497859789 to Mountain States Health Alliance on 2006-09-08.
As of what date was the information pertaining to Mountain States Health Alliance, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mountain States Health Alliance, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-10-20.