Mountain States Health Alliance, NPI 1548376718
Home Health Agency in Johnson City, TN, US

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NPI number: what is it?

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 1548376718
NPI Entity Type Organization
Provider Name Mountain States Health Alliance
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 509 Med Tech Pkwy, Suite 200, Johnson City, TN, US
Provider Mailing Address 311 Princeton Rd, Suite 1, Johnson City, TN, US, 376012026
Is Sole Proprietor? No
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Organization Official

Official Name Mary Lynn Krutak
Official Position EVP/CFO
Phone 423-302-3423

Primary Taxonomy

Taxonomy Code

251E00000X

Taxonomy Name Home Health Agency
Classification

Home Health

Group

Agencies

License No. 0000000271
License State TN
Description A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Other Organization Name

Medical Center Homecare Services
Doing Business As

Business Address

Mountain States Health Alliance
509 Med Tech Pkwy
Suite 200

Johnson City, TN, US

Phone: 423-431-6146
Fax: 423-431-5733

Mailing Address

Mountain States Health Alliance
311 Princeton Rd
Suite 1
Johnson City, TN, US
ZIP 376012026
Phone: 423-431-6146
Fax: 423-431-5733

Other Providers in TN, US

NPI Name Taxonomy Address

1417615469

MRS. RN Emily Rae Johnson

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Critical Care Medicine Registered Nurse

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PHARMD Rebecca Brittany Clegg

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1538605498

Christopher Byrd

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1154882843

MD Shalacia Palmer Leblanc

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Family Medicine Physician

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1306575014

DR. DNP, CRNA Mark Timothy Cresap

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Knoxville, TN

1366099269

Khumalo Foot And Ankle Clinic, Inc

Organization

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1154053643

CCC-SLP Azjah Watson

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70 Timber Creek Dr

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1841915113

MS. DNP Ala'a Mitoubsi

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1215652680

NEMT Olivia Williams

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Non-emergency Medical Transport (VAN)

8097 Waterford Cir Apt 204

Memphis, TN

1306561774

Megan Nichole Trujillo

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2740 Saint Andrews Dr

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1598727380

M.D. David D. Buckman

Individual

Family Medicine Physician

2320 Wilma Rudolph Blvd.

Clarksville, TN

1437874807

Ashley Myers

Individual

Registered Nurse

1211 Medical Center Dr

Nashville, TN

1477278844

Jessica Gomez

Individual

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1727 N Germantown Pkwy Ste 107

Cordova, TN

1881736122

Park Center

Organization

Adult Mental Health Clinic/Center

1935 21st Ave S

Nashville, TN

1174056428

DR. M.D. Melissa Lynn Mckittrick

Individual

Pain Medicine (Anesthesiology) Physician

3400 Lebanon Rd

Murfreesboro, TN

1083339444

FNP-BC Misty Renee Nichols

Individual

Family Nurse Practitioner

2216 Rainbow Ln

New Market, TN

1376569210

MD Douglas Todd Cannon

Individual

Physical Medicine & Rehabilitation Physician

8000 Centerview Pkwy

Suite 500

Cordova, TN

1386369734

Dovamed Medical

Organization

Durable Medical Equipment & Medical Supplies

545 Mainstream Dr Ste 102

Nashville, TN

1487379830

Taylor Woods

Individual

Registered Nurse

6019 Walnut Grove Rd

Memphis, TN

1285909903

MRS. PA-C Brittany C Smith

Individual

Physician Assistant

1265 Union Ave

Memphis, TN

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