Mountain States Health Alliance, NPI 1609984954
Rehabilitation Hospital Unit in Johnson City, TN, US
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 | 1609984954 |
| 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 | 2511 Wesley St, Johnson City, TN, US |
| Provider Mailing Address | 311 Princeton Rd, Johnson City, TN, US, 376012026 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | Mary Lynn Krutak |
| Official Position | SVP/CFO |
| Phone | 423-302-3374 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Rehabilitation Hospital Unit |
| Classification | |
| Group | |
| License No. | 0000000121 |
| License State | TN |
| Description | In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient's condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient's medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 004400631 | VA | MEDICAID | 05 |
| 01620418 | KY | MEDICAID | 05 |
| 000262138X | GA | MEDICAID | 05 |
| JOH0063N | AL | MEDICAID | 05 |
| 01675483 | NY | MEDICAID | 05 |
| 0579913 | OH | MEDICAID | 05 |
| 091618800 | FL | MEDICAID | 05 |
| 440063 | NC | MEDICAID | 05 |
| 05431336 | MS | MEDICAID | 05 |
| 463496 | SC | MEDICAID | 05 |
| 4688190 | MI | MEDICAID | 05 |
| 9802156000 | WV | MEDICAID | 05 |
Other Providers in TN, US
| NPI | Name | Taxonomy | Address |
|---|---|---|---|
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PHARMD Rebecca Brittany Clegg Individual |
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MD Shalacia Palmer Leblanc Individual |
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CCC-SLP Azjah Watson Individual |
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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 |
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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 |
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|
Taylor Woods Individual |
6019 Walnut Grove Rd |
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|
MRS. PA-C Brittany C Smith Individual |
1265 Union Ave |
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