NPI 1114033628
Mountain States Health Alliance
Practice location
- Address
- 300 Med Tech Pkwy, Johnson City, TN 37604-2277
- Phone
- (423) 302-1100
- Fax
- (423) 302-1129
- Mailing address
- 311 Princeton Rd STE 1, Johnson City, TN 37601-2026
Authorised official
- Name
- Shane Edwin Hilton
- Title
- Evp/Cfo
- Phone
- (423) 302-3467
Registered specialties
General Acute Care Hospital
Primary
Registry record
- NPI
- 1114033628
- Entity type
- Organization
- NPI issued
- 21 Aug 2006
- Record last updated
- 16 Apr 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.