The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
NPI | 1023434339 |
NPI Entity Type | Organization |
Provider Name |
Mountain States Health Alliance
Doing Business As |
Enumeration Date | September 30, 2009 |
Last Update Date | September 30, 2009 |
Certification Date | September 30, 2009 |
Provider Location Address | 403 N State Of Franklin Rd, Johnson City, TN, US |
Provider Mailing Address | 311 Princeton Rd Ste 1, Johnson City, TN, US, 376012026 |
Gender | Male |
Is Sole Proprietor? | No |
Official Name | Mary Lynn Krutak |
Official Position | EVP/CFO |
Phone | 423-302-3423 |
Taxonomy Code | |
Taxonomy Name | Psychiatric Hospital Unit |
Classification | |
Group | |
License No. | 0000000121 |
License State | TN |
Description | In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
Endpoint Type | Endpoint | Description | Use | Content Type | Affiliation | Location |
---|---|---|---|---|---|---|
CONNECT | https://67.32.31.88:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service | 2.16.840.1.113883.3.1340.1 | OTHER | OTHER | Yes | 403 N State Of Franklin Rd, Johnson City, TN, US |
NPI | Name | Taxonomy | Address |
---|---|---|---|
MRS. RN Emily Rae Johnson Individual |
315 Hospital Dr |
||
PHARMD Rebecca Brittany Clegg Individual |
1430 S Roan St |
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Christopher Byrd Individual |
4221 Maynardville Hwy |
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MD Shalacia Palmer Leblanc Individual |
3400 Lebanon Rd |
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DR. DNP, CRNA Mark Timothy Cresap Individual |
7357 Lucky Clover Ln |
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Khumalo Foot And Ankle Clinic, Inc Organization |
1109 E Reelfoot Ave Ste D |
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CCC-SLP Azjah Watson Individual |
70 Timber Creek Dr |
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MS. DNP Ala'a Mitoubsi Individual |
1926 Alcoa Hwy |
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NEMT Olivia Williams Individual |
8097 Waterford Cir Apt 204 |
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Megan Nichole Trujillo Individual |
2740 Saint Andrews Dr |
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M.D. David D. Buckman Individual |
2320 Wilma Rudolph Blvd. |
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Ashley Myers Individual |
1211 Medical Center Dr |
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Jessica Gomez Individual |
1727 N Germantown Pkwy Ste 107 |
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Park Center Organization |
1935 21st Ave S |
||
DR. M.D. Melissa Lynn Mckittrick Individual |
3400 Lebanon Rd |
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FNP-BC Misty Renee Nichols Individual |
2216 Rainbow Ln |
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MD Douglas Todd Cannon Individual |
8000 Centerview Pkwy Suite 500 |
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Dovamed Medical Organization |
545 Mainstream Dr Ste 102 |
||
Taylor Woods Individual |
6019 Walnut Grove Rd |
||
MRS. PA-C Brittany C Smith Individual |
1265 Union Ave |
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