Medical Center Infusion Therapy

LBN: Mountain States Health Alliance
Medical Center Infusion Therapy is an health care organization with primary practice located at 101 Med Tech Pkwy Suite 100, Johnson City TN 37604-4007. The organization recently has 2 registered licenses in different health care specialties including Agencies / Home Infusion, Suppliers / Durable Medical Equipment & Medical Supplies. Agencies / Home Infusion is the primary health care specialty. Mountain States Health Alliance can be contacted via phone (423) 431-4601, or through Krutak, Mary Lynn via phone (423) 302-3423.

Contact Information

Primary practice address
101 Med Tech Pkwy Suite 100 Johnson City TN 37604-4007
Phone: (423) 431-4601
Fax: (423) 431-5733
Website:
Map and Directions
Authorized official contact:
Name: Krutak, Mary Lynn
Phone: (423) 302-3423

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Infusion 251F00000X 0000000434 Tennessee
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1053496901
LBN Legal business name Mountain States Health Alliance
DBA Doing business as Medical Center Infusion Therapy
Authorized official Krutak, Mary Lynn
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2006
Last updated Mar 29th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers