Mountain States Health Alliance in Johnson City - Skilled Nursing Facility
Mountain States Health Alliance - NPI 1124139464
Mountain States Health Alliance is a Skilled Nursing Facility in Johnson City, Tennessee. Mountain States Health Alliance practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Mountain States Health Alliance is 1124139464. The last update date is 2020-08-22.
Mountain States Health Alliance's current location address is 2511 Wesley St, Johnson City, Tennessee. You can contact this provider via phone number 4239521700 and fax number 4239523398. The mailing address for Mountain States Health Alliance is 2511 Wesley St, Johnson City, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mountain States Health Alliance |
|---|---|
| Address | 2511 Wesley St, Johnson City, Tennessee |
| Phone Number | 4239521700 |
| Fax Number | 4239523398 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SVP/CFO |
|---|---|
| Authorized Official Name | Eichorn H Marvin |
| Telephone Number | 4234316111 |
NPI Number Detail
| NPI Number | 1124139464 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2511 Wesley St |
|---|---|
| City | Johnson City |
| State | Tennessee (TN) |
| Post Code | 376011723 |
| Phone Number | 4239521700 |
| Fax Number | 4239523398 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 329 |
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Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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What is the unique 10-digit identifier code issued to Mountain States Health Alliance by the Centers for Medicare & Medicaid Services?
The Mountain States Health Alliance has been assigned the NPI (National Provider Identifier) 1124139464 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Mountain States Health Alliance's facilities are situated?
The facilities of Mountain States Health Alliance are physically located at the following address: 2511 Wesley St, Johnson City, TN, 376011723.
What is Mountain States Health Alliance's area of expertise and its corresponding taxonomy classification?
The Mountain States Health Alliance's field of specialization is Skilled Nursing Facility, and it falls under the taxonomy code 314000000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Mountain States Health Alliance receive the assignment of its 1124139464 from the Centers for Medicare & Medicaid Services?
The Mountain States Health Alliance was issued its 1124139464 by the Centers for Medicare & Medicaid Services on 2006-08-31.
As of what date were the details pertaining to Mountain States Health Alliance last refreshed?
The information related to the Mountain States Health Alliance, including its address, specialty, and other relevant details, was last updated on 2020-08-22.
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