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Mountain States Health Alliance

Rural Health Clinic/Center in Mountain City, TN · enumerated 2006 · authorized official Dwayne Taylor, Ceo.

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

National Provider Identifier

1205846508

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Registry record

Entity type Organization (Type 2)
Legal business name Mountain States Health Alliance
Other name <Unavail>
Practice address 1901 S Shady St, Mountain City, TN, 37683
Fax (423) 727-1105
Enumeration date Aug 9, 2006
Last updated in NPPES Aug 12, 2024

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary
261QR1300X Rural Health Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Dwayne Taylor
Title Ceo

Other identifiers

Identifier Type State Issuer
3278673 Medicaid TN -

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

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Mountain States Health Alliance?
Mountain States Health Alliance is registered in NPPES as a Rural Health Clinic/Center (its primary provider taxonomy).

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-08-12.