Organization · Type 2 NPI

Mountain States Health Alliance

Skilled Nursing Facility · Johnson City, TN

NPI number 1124139464 Active

Practice location

2511 Wesley St
Johnson City, TN 37601-1723

Call (423) 952-1700 Map

Fax (423) 952-3398

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000X0000000329 (TN)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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About NPI 1124139464

Mountain States Health Alliance's National Provider Identifier is 1124139464, issued on Aug 31, 2006. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Johnson City, TN. The record was last updated on Aug 22, 2020.