Bh Specialty Pharmacy-Kpt

LBN: Mountain States Health Alliance
Bh Specialty Pharmacy-Kpt is an health care organization with primary practice located at 2202 N John B Dennis Hwy , Kingsport TN 37660-5904. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Mountain States Health Alliance can be contacted via phone (423) 434-7443, or through Krutak, Mary Lynn via phone (423) 302-3423.

Contact Information

Primary practice address
2202 N John B Dennis Hwy Kingsport TN 37660-5904
Phone: (423) 434-7443
Fax: (423) 302-3537
Website:
Map and Directions
Authorized official contact:
Name: Krutak, Mary Lynn
Phone: (423) 302-3423

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1548842602
LBN Legal business name Mountain States Health Alliance
DBA Doing business as Bh Specialty Pharmacy-Kpt
Authorized official Krutak, Mary Lynn
Entity Organization
Organization subpart 1 No
Enumeration date Apr 27th, 2021
Last updated Jan 24th, 2022 - about 2 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 1548842602 NPPES
Tennessee MEDICAID 0440176

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