NPI
Mountain States Health Alliance
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2011-03-08
- Last updated
- 2018-03-30
Specialties
Licenses
- License TN
- 0000000329
Location
- Practice location
- 2511 Wesley St
- City
- Johnson City TN
- Postal code
- 37601-1723
- Phone
- (423) 952-1700
Organization contact
- Name
- MARY KRUTAK
- Title
- EVP/SFO
- Phone
- 4233023423
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Johnson City, TN. 4,553 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
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