Organization · Type 2 NPI

Mountain States Health Alliance

Psychiatric Hospital Unit · Johnson City, TN

NPI number 1962915652 Active

Practice location

400 N State Of Franklin Rd
Johnson City, TN 37604-6035

Call (423) 431-6111 Map

Fax (423) 431-3549

Mailing address

311 Princeton Rd Ste 1
Johnson City, TN 37601-2026

Specialties and licenses

Taxonomy	Code	License
Psychiatric Hospital Unit Primary	273R00000X	None listed

Psychiatric Hospital Unit: 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 perso…

175 other providers at this address

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NPI record

NPI: 1962915652
Entity type: Organization (Type 2)
Issued: Nov 16, 2017
Last updated: Mar 14, 2018
Status: Active
Subpart: Yes of Mountain States Health Alliance

Other names

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Johnson City Medical Center · doing business as
Johnson City Medical Center · doing business as

Authorized official

Mary Lynn Krutak
EVP/cfo
(423) 302-3423

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1962915652

Mountain States Health Alliance's National Provider Identifier is 1962915652, issued on Nov 16, 2017. The primary taxonomy on file is Psychiatric Hospital Unit (273R00000X), and the practice location is in Johnson City, TN. The record was last updated on Mar 14, 2018.