Home » Tennessee » 24283 » Mountain States Health Alliance

Mountain States Health Alliance

Mountain States Health Alliance is a health care provider in Johnson City, TN. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 16431 Wise Street, Saint Paul, VA 24283, US
Practice Location Phone276-883-8000
Practice Location Fax
Legal Business NameMOUNTAIN STATES HEALTH ALLIANCE
Other Organization NameMOUNTAIN STATES REHAB
Other Organization Name TypeDoing Business As Name
NPI ?1346620655
Entity TypeOrganization
Enumeration Date ? Jun 2, 2015
Last Update Date ? Oct 30, 2015
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Mountain States Health Alliance

SpecialtySpecializationLicenseLicense State
General Acute Care Hospital H 1892Virginia

legacy-id-icon Legacy Provider IDs of Mountain States Health Alliance

Provider IdIssuer StateIssuer TypeIssuer
490002VirginiaMedicare Oscar/certification

official-icon Authorized Official of Mountain States Health Alliance

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Mountain States Health Alliance's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Mary Lynn Krutak
Authorized Official Title/PositionSVP/CFO
Authorized Official Phone Number423-302-3374