Mountain States Health Alliance
NPI #1073064333 in Johnson City, Tennessee
Provider Information
- NPI Number
- 1073064333
- Entity Type
- Organization
- Organization Name
- Mountain States Health Alliance
- Primary Specialty
- General Acute Care Hospital - Children
- Enumeration Date
- Oct 20, 2016
- Last Updated
- Oct 20, 2016
Practice Location
- Address
- 400 N ST OF FRANKLIN RD
- City
- Johnson City
- State
- Tennessee
- ZIP Code
- 37604
- Phone
- (423) 431-5339
Authorized Official
- Name
- SANDRA CASTRO, MD
- Title
- MEDICAL DIRECTOR
- Phone
- (423) 431-5339
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Acute Care Hospital - Children — Children |
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