Organization Name: | MOUNTAIN STATES HEALTH ALLIANCE |
NPI Number: | 1023434339 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LYNN KRUTAK (SVP/CFO) |
Mailing Address: | 311 Princeton Rd Johnson City |
State: | TN US |
Postal Code: | 376012026 |
Phone Number: | 4234317111 |
Fax Number: | 4234311244 |
NPI Enumeration Date: | 03/11/2014 |
NPI Last Update Date: | 03/24/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 273R00000X |
License Number: | 0000000121 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Hospital Units |
Taxonomy Classification: | Psychiatric Unit |
Taxonomy Specialization: | |
Taxonomy 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 |