Mountain States Health Alliance
NPI #1033225206 in Johnson City, Tennessee
Provider Information
- NPI Number
- 1033225206
- Entity Type
- Organization
- Organization Name
- Mountain States Health Alliance
- Primary Specialty
- Hospice Care, Community Based
- Enumeration Date
- Aug 21, 2006
- Last Updated
- Dec 19, 2018
Practice Location
- Address
- 509 MED TECH PKWY STE 300
- City
- Johnson City
- State
- Tennessee
- ZIP Code
- 37604-2579
- Phone
- (423) 431-6146
Authorized Official
- Name
- MARY LYNN KRUTAK
- Title
- EVP/CFO
- Phone
- (423) 302-3423
Specialties & Taxonomy Codes
| Specialty |
|---|
| Hospice Care, Community Based |
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