NPI 1396717963
Mountain States Health Alliance
Practice location
- Address
- 1410 Tusculum Blvd STE 1600, Greeneville, TN 37745-4286
- Phone
- (423) 787-5030
- Fax
- (423) 431-5288
- 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
Home Health Agency
Primary
Registry record
- NPI
- 1396717963
- Entity type
- Organization
- NPI issued
- 7 Feb 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.