Mountain States Rehabilitation At Ipmc

LBN: Mountain States Health Alliance
Mountain States Rehabilitation At Ipmc is an health care organization with primary practice located at 2204 Pavilion Dr Suite 115, Kingsport TN 37660-4657. The organization recently has only one registered license in Hospitals / General Acute Care Hospital, which is considered as the primary health care specialty. Mountain States Health Alliance can be contacted via phone (423) 857-6777, or through Wilgocki, Gregory Lee via phone (423) 431-5794.

Contact Information

Primary practice address
2204 Pavilion Dr Suite 115 Kingsport TN 37660-4657
Phone: (423) 857-6777
Fax: (423) 857-6788
Website:
Map and Directions
Authorized official contact:
Name: Wilgocki, Gregory Lee
Phone: (423) 431-5794

Health care specialties

SpecialtyCodeLicense #State
Hospitals / General Acute Care Hospital 282N00000X 134 Tennessee

Profile Details

NPI number 1720468200
LBN Legal business name Mountain States Health Alliance
DBA Doing business as Mountain States Rehabilitation At Ipmc
Authorized official Wilgocki, Gregory Lee
Entity Organization
Organization subpart 1 No
Enumeration date Jun 1st, 2015
Last updated Dec 11th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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