Mountain States Health Alliance
NPI #1962915652 in Johnson City, Tennessee
Provider Information
- NPI Number
- 1962915652
- Entity Type
- Organization
- Organization Name
- Mountain States Health Alliance
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MOUNTAIN STATES HEALTH ALLIANCE
- Primary Specialty
- Psychiatric Unit
- Enumeration Date
- Nov 16, 2017
- Last Updated
- Mar 14, 2018
Practice Location
- Address
- 400 N STATE OF FRANKLIN RD
- City
- Johnson City
- State
- Tennessee
- ZIP Code
- 37604-6035
- Phone
- (423) 431-6111
Authorized Official
- Name
- MARY LYNN KRUTAK
- Title
- EVP/CFO
- Phone
- (423) 302-3423
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatric Unit |
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