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Organization
MOUNTAIN STATES HEALTH ALLIANCE
Active
Organization
MOUNTAIN STATES HEALTH ALLIANCE
Active
Other names
Johnson City Specialty Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MARVIN H EICHORN (SVP/CFO)
(423) 431-6111
Entity
Organization
Contact information
Practice address
203 E WATAUGA AVE, JOHNSON CITY, TN 37601-4629
(423) 926-1111
(423) 979-6163
Mailing address
203 E WATAUGA AVE, JOHNSON CITY, TN 37601-4629
(423) 926-1111
(423) 979-6163
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
0000000122
TN
Other
Enumeration date
08/31/2006
Last updated
08/12/2008
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