Organization
MOUNTAIN STATES HEALTH ALLIANCE
Active
Organization
MOUNTAIN STATES HEALTH ALLIANCE
Active
Other names
DBA Mountain States Outpatient Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY N DICE (ASSISTANT VICE PRESIDENT)
(423) 431-7060
Entity
Organization
Contact information
Practice address
508 PRINCETON COMMONS, SUITE 403, JOHNSON CITY, TN 37601-2060
(423) 722-3000
(423) 722-3009
Mailing address
508 PRINCETON COMMONS, SUITE 403, JOHNSON CITY, TN 37601-2060
(423) 722-3000
(423) 722-3009
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
10/18/2007
Last updated
11/02/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up