Indian Path Medical Center Transitional Care Unit

LBN: Mountain States Health Alliance
Indian Path Medical Center Transitional Care Unit is an health care organization with primary practice located at 2000 Brookside Dr , Kingsport TN 37660-4627. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Mountain States Health Alliance can be contacted via phone (423) 857-7000, or through Krutak, Mary Lynn via phone (423) 302-3774.

Contact Information

Primary practice address
2000 Brookside Dr Kingsport TN 37660-4627
Phone: (423) 857-7000
Fax: (423) 857-7078
Website:
Map and Directions
Authorized official contact:
Name: Krutak, Mary Lynn
Phone: (423) 302-3774

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0000000336 Tennessee

Profile Details

NPI number 1326141896
LBN Legal business name Mountain States Health Alliance
DBA Doing business as Indian Path Medical Center Transitional Care Unit
Authorized official Krutak, Mary Lynn
Entity Organization
Organization subpart 1 No
Enumeration date Sep 7th, 2006
Last updated Oct 30th, 2015 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326141896 NPPES
North Carolina MEDICAID 4400176
North Carolina MEDICAID 01600113
North Carolina MEDICAID 4699873
North Carolina MEDICAID 000363855X
North Carolina MEDICAID 0938025
North Carolina MEDICAID 091618800
North Carolina MEDICAID 000127730
North Carolina MEDICAID 00672239
North Carolina MEDICAID 004401760

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