Mountain States Health Alliance

NPI #1720468200 in Kingsport, Tennessee

Provider Information

NPI Number
1720468200
Entity Type
Organization
Organization Name
Mountain States Health Alliance
Primary Specialty
General Acute Care Hospital
Enumeration Date
Jun 1, 2015
Last Updated
Dec 11, 2017

Practice Location

Address
2204 PAVILION DR
Address 2
SUITE 115
ZIP Code
37660-4657
Phone
(423) 857-6777

Authorized Official

Name
GREGORY LEE WILGOCKI
Title
CORP DIRECTOR REIMBURSEMENT
Phone
(423) 431-5794

Specialties & Taxonomy Codes

Specialty
General Acute Care Hospital

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