Organization
MOUNTAIN STATES HEALTH ALLIANCE
Active
Other names
BHRHC MTNCITY
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE EDWIN HILTON (EVP/CFO)
(423) 302-3467
Entity
Organization
Contact information
Practice address
1901 S SHADY ST, MOUNTAIN CITY, TN 37683-2021
(423) 727-1103
(423) 727-1140
Mailing address
311 PRINCETON RD STE 1, JOHNSON CITY, TN 37601-2026
(423) 727-1103
(423) 727-1140
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
0000000038
TN
Other
Enumeration date
08/31/2006
Last updated
04/16/2024
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