Organization
MOUNTAIN STATES HEALTH ALLIANCE
Active
Other names
Center for Sleep Disorders at UCMH, UCMH Sleep Lab
Organization subpart
No
Provider details
NPI number
Authorized official
MARY LYNN KRUTAK (EVP/CFO)
(423) 302-3423
Entity
Organization
Contact information
Practice address
630 ONEEGA LN, SUITE E, ERWIN, TN 37650-2197
(423) 431-6816
(423) 743-1244
Mailing address
311 PRINCETON RD STE 1, JOHNSON CITY, TN 37601-2026
(423) 431-6816
(423) 743-1244
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
07/14/2015
Last updated
04/03/2018
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