Bh Specialty Pharmacy- Jc

LBN: Mountain States Health Alliance
Bh Specialty Pharmacy- Jc is an health care organization with primary practice located at 1 Professional Park Dr Ste 21 , Johnson City TN 37604-6909. 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) 431-7760, or through Hilton, Shane Edwin via phone (423) 302-3467.

Contact Information

Primary practice address
1 Professional Park Dr Ste 21 Johnson City TN 37604-6909
Phone: (423) 431-7760
Fax: (423) 610-3361
Website:
Map and Directions
Authorized official contact:
Name: Hilton, Shane Edwin
Phone: (423) 302-3467

Health care specialties

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

Profile Details

NPI number 1881272854
LBN Legal business name Mountain States Health Alliance
DBA Doing business as Bh Specialty Pharmacy- Jc
Authorized official Hilton, Shane Edwin
Entity Organization
Organization subpart 1 No
Enumeration date Mar 31st, 2021
Last updated Apr 17th, 2024 - about 8 months 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 1881272854 NPPES
Tennessee MEDICAID 0440063

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