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Organization
MOUNTAIN STATES HEALTH ALLIANCE
Active
Organization
MOUNTAIN STATES HEALTH ALLIANCE
Active
Other names
Johnson City Medical Center Skilled Nursing Facility
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARVIN H EICHORN (SVP/CFO)
(423) 431-6111
Entity
Organization
Contact information
Practice address
2511 WESLEY ST, JOHNSON CITY, TN 37601-1723
(423) 952-1700
(423) 952-3398
Mailing address
2511 WESLEY ST, JOHNSON CITY, TN 37601-1723
(423) 952-1700
(423) 952-3398
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0000000329
TN
Other
Enumeration date
08/31/2006
Last updated
08/22/2020
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