Mountain States Medical Group

LBN: Mountain States Medical Group
Mountain States Medical Group is an health care organization with primary practice located at 1497 W Elk Ave Ste 21 , Elizabethton TN 37643-2896. The organization recently has only one registered license in Pharmacy Service Providers / Pharmacotherapy, which is considered as the primary health care specialty. Mountain States Medical Group can be contacted via phone (423) 542-7420, or through Nelson, Brooklyn via phone (423) 542-7479.

Contact Information

Primary practice address
1497 W Elk Ave Ste 21 Elizabethton TN 37643-2896
Phone: (423) 542-7420
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nelson, Brooklyn PHARMD
Phone: (423) 542-7479

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacotherapy 1835P1200X 38635 Tennessee

Profile Details

NPI number 1952770067
LBN Legal business name Mountain States Medical Group
DBA Doing business as
Authorized official Nelson, Brooklyn PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Sep 18th, 2015
Last updated Sep 18th, 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 1952770067 NPPES
North Carolina Other 1982036927 NPI

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