James H. & Cecile C. Quillen Rehabilitation Hospital

LBN: Mountain States Health Alliance
James H. & Cecile C. Quillen Rehabilitation Hospital is an health care organization with primary practice located at 2511 Wesley St , Johnson City TN 37601-1723. The organization recently has only one registered license in Hospital Units / Rehabilitation Unit, which is considered as the primary health care specialty. Mountain States Health Alliance can be contacted via phone (423) 952-1700, or through Krutak, Mary Lynn via phone (423) 302-3374.

Contact Information

Primary practice address
2511 Wesley St Johnson City TN 37601-1723
Phone: (423) 952-1700
Fax: (423) 431-6525
Website:
Map and Directions
Authorized official contact:
Name: Krutak, Mary Lynn
Phone: (423) 302-3374

Health care specialties

SpecialtyCodeLicense #State
Hospital Units / Rehabilitation Unit 273Y00000X 0000000121 Tennessee

Profile Details

NPI number 1609984954
LBN Legal business name Mountain States Health Alliance
DBA Doing business as James H. & Cecile C. Quillen Rehabilitation Hospital
Authorized official Krutak, Mary Lynn
Entity Organization
Organization subpart 1 No
Enumeration date Aug 28th, 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 1609984954 NPPES
Virginia MEDICAID 004400631
Virginia MEDICAID 01620418
Virginia MEDICAID 000262138X
Virginia MEDICAID JOH0063N
Virginia MEDICAID 01675483
Virginia MEDICAID 0579913
Virginia MEDICAID 091618800
Virginia MEDICAID 440063
Virginia MEDICAID 05431336
Virginia MEDICAID 463496
Virginia MEDICAID 4688190
Virginia MEDICAID 9802156000

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