Organization
MOUNTAIN STATES HEALTH ALLIANCE
Active
Other names
BH Specialty Pharmacy- JC
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE EDWIN HILTON (EVP/CFO)
(423) 302-3467
Entity
Organization
Contact information
Practice address
1 PROFESSIONAL PARK DR STE 21, JOHNSON CITY, TN 37604-6909
(423) 431-7760
(423) 610-3361
Mailing address
2 PROFESSIONAL PARK DR STE 15, JOHNSON CITY, TN 37604-6584
(423) 434-7443
(423) 302-3537
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0440063
—
TN
Enumeration date
03/31/2021
Last updated
04/17/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us