Mountain States Health Alliance

Practice location

Address

100 Greenway Cir, Erwin, TN 37650-2177

Phone

(423) 743-3141

Fax

(423) 743-1244

Mailing address

311 Princeton Rd STE 1, Johnson City, TN 37601-2026

Authorised official

Name

Mary Lynn Krutak

Title

Evp/Cfo

Phone

(423) 302-3423

Registered specialties (2)

Registry record

NPI

1922437466

Entity type

Organization

NPI issued

5 Nov 2013

Record last updated

28 Mar 2018

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.