MOUNTAIN STATES HEALTH ALLIANCE NPI 1073064333

NPI Information

  • NPI: 1073064333
  • Provider Name: MOUNTAIN STATES HEALTH ALLIANCE
  • Classification: General Acute Care Hospital - 282NC2000X
  • Specialization: Children
  • Entity Type: Organization
  • CLIA Number: 44D1105273
  • Address: 400 N ST OF FRANKLIN RD
    JOHNSON CITY, TN
    ZIP 37604
  • Phone: (423) 431-5339

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NPI Details

MOUNTAIN STATES HEALTH ALLIANCE is a children general acute care hospital in Johnson City, TN. MOUNTAIN STATES HEALTH ALLIANCE NPI is 1073064333. The provider is registered as an organization entity type.

The provider's business location address is:

400 N ST OF FRANKLIN RD
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 431-5339

The provider's authorized official is Sandra Castro .
The authorized official title is Medical Director and has the following contact phone number (423) 431-5339.

The CLIA number assigned to this NPI record is 44D1105273 - other - med center satellite with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/20/2016 and was last updated on 10/20/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1282NC2000XGeneral Acute Care HospitalChildren21920TENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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