Organization
MOUNTAIN STATES HEALTH ALLIANCE
Active
Organization
MOUNTAIN STATES HEALTH ALLIANCE
Active
Other names
Johnson City Medical Center, Regional Cancer Center
Organization subpart
No
Provider details
NPI number
Authorized official
GRACIELA PEREIRA (AVP)
(423) 431-7060
Entity
Organization
Contact information
Practice address
1 PROFESSIONAL PARK DR, SUITE 21 ROOM C-17, JOHNSON CITY, TN 37604-6587
(423) 232-6900
(423) 232-6903
Mailing address
1 PROFESSIONAL PARK DR, SUITE 21 ROOM C-17, JOHNSON CITY, TN 37604-6587
(423) 232-6900
(423) 232-6903
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/04/2011
Last updated
03/04/2011
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