MOUNTAIN STATES HEALTH ALLIANCE – NPI #1073064333
General Acute Care Hospital

MOUNTAIN STATES HEALTH ALLIANCE is a general acute care hospital located in JOHNSON CITY, TN. NPPES has assigned the NPI number 1073064333 to MOUNTAIN STATES HEALTH ALLIANCE on October 20, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 282NC2000X from the Health Care Provider Taxonomy code set, which is classified as General Acute Care Hospital, specializing in Children

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MOUNTAIN STATES HEALTH ALLIANCE below.

NPI Profile for
MOUNTAIN STATES HEALTH ALLIANCE

NPI Number
1073064333
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MOUNTAIN STATES HEALTH ALLIANCE
Primary location
400 N ST OF FRANKLIN RD
JOHNSON CITY, TN 37604
Phone: (423) 431-5339 Fax:
Mailing address
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604-6035
Phone: (423) 431-5339 Fax:
Organization Subpart
No
Authorized Official
SANDRA CASTRO
MEDICAL DIRECTOR
Phone: (423) 431-5339
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
282NC2000X
- General Acute Care Hospital / Children (Primary)
TN 21920

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.