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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