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Mountain States Health Alliance
Home Health Agency in Johnson City, Tennessee
NPI 1417030404

Mountain States Health Alliance is a Home Health Agency based in Johnson City, TN. Mountain States Health Alliance practices in Johnson City, TN. The NPI Number for Mountain States Health Alliance is 1417030404 and holds a License No. 269 (Tennessee).

The current practice location address for Mountain States Health Alliance is 509 Med Tech Pkwy Ste 200, Johnson City, TN and can be reached out via phone at 423-431-6146 and via fax at 423-431-5288.

Location: 509 Med Tech Pkwy Ste 200, Johnson City, TN, 37601-2026
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417030404
Provider Name
Mountain States Health Alliance
Credential
Provider Entity Type
Organization
Address
509 Med Tech Pkwy Ste 200, Johnson City, TN, 37601-2026
Phone Number
423-431-6146
Fax Number
423-431-5288
Provider Enumeration Date
10/23/2006
Last Update Date
05/18/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4149709 01 TN BLUE CROSS
447240 05 TN
institution
Provider Business Practice Location Address Details
Address
509 Med Tech Pkwy Ste 200
City
Johnson City
State
Tennessee
Zip
37604
Phone Number
423-431-6146
Fax Number
423-431-5288
person
Provider Business Mailing Address Details
Address
509 Med Tech Pkwy Ste 200
City
Johnson City
State
Tennessee
Zip
37604
Phone Number
423-431-6146
Fax Number
423-431-5288
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
269 (Tennessee)
Definition
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.
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