Johnson City Medical Center

LBN: Mountain States Health Alliance
Johnson City Medical Center is an health care organization with primary practice located at 400 N State Of Franklin Rd , Johnson City TN 37604-6035. The organization recently has 2 registered licenses in different health care specialties including Hospital Units / Psychiatric Unit, Hospitals / General Acute Care Hospital. Hospitals / General Acute Care Hospital is the primary health care specialty. Mountain States Health Alliance can be contacted via phone (423) 431-6111, or through Hilton, Shane Edwin via phone (423) 302-3467.

Contact Information

Primary practice address
400 N State Of Franklin Rd Johnson City TN 37604-6035
Phone: (423) 431-6111
Fax: (423) 431-3986
Website:
Map and Directions
Authorized official contact:
Name: Hilton, Shane Edwin
Phone: (423) 302-3467

Health care specialties

SpecialtyCodeLicense #State
Hospital Units / Psychiatric Unit 273R00000X 0000000121 Tennessee
Hospitals / General Acute Care Hospital 282N00000X 0000000121 Tennessee

Profile Details

NPI number 1972606465
LBN Legal business name Mountain States Health Alliance
DBA Doing business as Johnson City Medical Center
Authorized official Hilton, Shane Edwin
Entity Organization
Organization subpart 1 No
Enumeration date Sep 7th, 2006
Last updated Apr 16th, 2024 - about 7 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 1972606465 NPPES
Michigan MEDICAID 4699882
Michigan MEDICAID 000262138X
Michigan MEDICAID 01675483
Michigan MEDICAID 0440063
Michigan MEDICAID 42332
Michigan MEDICAID 01620418
Michigan Other 070026
Michigan MEDICAID 091618800
Michigan MEDICAID 1749478
Michigan MEDICAID JOH0063N
Michigan Other 030283600
Michigan MEDICAID 05431336
Michigan MEDICAID 0579913
Michigan MEDICAID 9802156000
Michigan MEDICAID 4400063
Michigan MEDICAID 463496
Michigan MEDICAID 4688190
Michigan Other A3760501

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