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Mountain States Health Alliance

Community Based Hospice Care Agency in Johnson City, TN · enumerated 2006 · authorized official Mary Krutak, Evp/Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1033225206

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Registry record

Entity type Organization (Type 2)
Legal business name Mountain States Health Alliance
Other name <Unavail>
Practice address 509 Med Tech Pkwy Ste 300, Johnson City, TN, 37604
Fax (423) 431-7655
Enumeration date Aug 21, 2006
Last updated in NPPES Dec 19, 2018

Taxonomy & classification

251G00000X Community Based Hospice Care Agency Agencies · License 0000000390 (TN) Primary

Authorized official

Name Mary Krutak
Title Evp/Cfo

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Mountain States Health Alliance located?
The practice location on file with NPPES is in Johnson City, TN.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2018-12-19. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-12-19.