Mountain States Health Alliance
NPI #1306957659 in Mountain City, Tennessee
Provider Information
- NPI Number
- 1306957659
- Entity Type
- Organization
- Organization Name
- Mountain States Health Alliance
- Primary Specialty
- Home Health
- Enumeration Date
- Aug 31, 2006
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 1987A S SHADY ST
- City
- Mountain City
- State
- Tennessee
- ZIP Code
- 37683-2021
- Phone
- (423) 727-3250
Authorized Official
- Name
- GREGORY LEE WILGOCKI
- Title
- CORP DIRECTOR REIMBURSEMENT
- Phone
- (423) 431-5794
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
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