Organization
MOUNTAIN STATES HEALTH ALLIANCE
Active
Other names
Mountain States Lifeline
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARVIN H EICHORN (SVP/CFO)
(423) 431-6111
Entity
Organization
Contact information
Practice address
1021 W OAKLAND AVE, SUITE 310, JOHNSON CITY, TN 37604-2191
(423) 952-3732
(423) 952-3750
Mailing address
1021 W OAKLAND AVE, SUITE 310, JOHNSON CITY, TN 37604-2191
(423) 952-3732
(423) 952-3750
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
—
—
Other
Enumeration date
07/30/2007
Last updated
07/30/2007
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