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.
Organization
MOUNTAIN STATES HEALTH ALLIANCE
Active
Organization
MOUNTAIN STATES HEALTH ALLIANCE
Active
Other names
Mountain States Rehabilitation at IPMC
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY LEE WILGOCKI (CORP DIRECTOR REIMBURSEMENT)
(423) 431-5794
Entity
Organization
Contact information
Practice address
2204 PAVILION DR, SUITE 115, KINGSPORT, TN 37660-4657
(423) 857-6777
(423) 857-6788
Mailing address
311 PRINCETON RD STE 1, JOHNSON CITY, TN 37601-2026
(423) 857-6777
(423) 857-6788
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
134
TN
Other
Enumeration date
06/01/2015
Last updated
12/11/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers