# MOUNTAIN STATES HEALTH ALLIANCE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Johnson City Specialty Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023129376
- **Authorized official:** MARVIN H EICHORN (SVP/CFO)
- **Authorized official phone:** (423) 431-6111

## Contact information

- **Practice address:** 203 E WATAUGA AVE, JOHNSON CITY, TN 37601-4629
- **Practice address phone:** (423) 926-1111
- **Practice address fax:** (423) 979-6163
- **Mailing address:** 203 E WATAUGA AVE, JOHNSON CITY, TN 37601-4629
- **Mailing address phone:** (423) 926-1111
- **Mailing address fax:** (423) 979-6163

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 0000000122 | TN | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 08/12/2008