Organization
MOUNTAIN STATES HEALTH ALLIANCE
Active
Other names
Woodridge Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE EDWIN HILTON (EVP/CFO)
(423) 302-3467
Entity
Organization
Contact information
Practice address
403 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604-6034
(423) 431-7111
(423) 431-7301
Mailing address
311 PRINCETON RD STE 1, JOHNSON CITY, TN 37601-2026
(423) 431-7111
(423) 431-7301
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
000000121
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19558000
MAGELLAN
—
Enumeration date
09/07/2006
Last updated
04/16/2024
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