Msmg Fp Im Mtn
LBN: Mountain States Health Alliance
Msmg Fp Im Mtn is an health care organization with primary practice located at 1901 S Shady St , Mountain City TN 37683-2021. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Mountain States Health Alliance can be contacted via phone (423) 727-1100, or through Taylor, Dwayne via phone (423) 542-1333.
Contact Information
Primary practice address
1901 S Shady St
Mountain City TN 37683-2021
Phone: (423) 727-1100
Fax: (423) 727-1105
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X |
Profile Details
| NPI number | 1205846508 |
|---|---|
| LBN Legal business name | Mountain States Health Alliance |
| DBA Doing business as | Msmg Fp Im Mtn |
| Authorized official | Taylor, Dwayne |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 9th, 2006 |
| Last updated | Oct 27th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205846508 | NPPES |
| Tennessee | MEDICAID | 3278673 |
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