Organization
MOUNTAIN STATES HEALTH ALLIANCE
Active
Other names
Franklin Woods Community Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE EDWIN HILTON (EVP/CFO)
(423) 302-3467
Entity
Organization
Contact information
Practice address
300 MED TECH PKWY, JOHNSON CITY, TN 37604-2277
(423) 302-1100
(423) 302-1129
Mailing address
311 PRINCETON RD STE 1, JOHNSON CITY, TN 37601-2026
(423) 302-1100
(423) 302-1129
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
0000000123
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004401841
—
VA
05
—
0100675
—
KY
01
—
030508600
BLACK LUNG
—
05
—
0440184
—
TN
05
—
0657632
—
OH
01
—
0700329
CIGNA
—
05
—
08001831
—
MS
05
—
091618800
—
FL
01
—
100020098
PHP
—
01
—
1000381
BLUE CROSS
—
01
—
437728
ANTHEM
—
05
—
4400184
—
NC
05
—
4703653
—
MI
01
—
A3760127
JOHN DEERE
—
Enumeration date
08/21/2006
Last updated
04/16/2024
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