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Mountain States Health Alliance
Psychiatric Hospital Unit in Kingsport, Tennessee
NPI 1417050980

Mountain States Health Alliance is a Psychiatric Hospital Unit based in Johnson City, TN. Mountain States Health Alliance practices in Kingsport, TN. The NPI Number for Mountain States Health Alliance is 1417050980 and holds a License No. 0000000134 (Tennessee).

The current practice location address for Mountain States Health Alliance is 2300 Pavilion Dr, Kingsport, TN and can be reached out via phone at 423-857-5500 and via fax at 423-857-7078.

Location: 2300 Pavilion Dr, Kingsport, TN, 37601-2026
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417050980
Provider Name
Mountain States Health Alliance
Credential
Provider Entity Type
Organization
Address
2300 Pavilion Dr, Kingsport, TN, 37601-2026
Phone Number
423-857-5500
Fax Number
423-857-7078
Provider Enumeration Date
09/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4699873 05 MI
000363855X 05 GA
004401760 05 VA
01600113 05 KY
091618800 05 FL
0938025 05 OH
17505000 01 MEGELLAN
000127730 05 SC
00672239 05 MS
4400176 05 NC
institution
Provider Business Practice Location Address Details
Address
2300 Pavilion Dr
City
Kingsport
State
Tennessee
Zip
37660-4622
Phone Number
423-857-5500
Fax Number
423-857-7078
person
Provider Business Mailing Address Details
Address
2300 Pavilion Dr
City
Kingsport
State
Tennessee
Zip
37660-4622
Phone Number
423-857-5500
Fax Number
423-857-7078
person
Provider's Taxonomy Details 1
Type
Hospital Units
Classification
Psychiatric Unit
Speciality
-
Taxonomy
273R00000X
License No.
0000000134 (Tennessee)
Definition
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 persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning.
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