Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Mountain States Health Alliance

Psychiatric Hospital Unit in Kingsport, TN · enumerated 2006 · authorized official Mary Krutak, Svp/Cfo.

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

National Provider Identifier

1417050980

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Registry record

Entity type Organization (Type 2)

Legal business name Mountain States Health Alliance

Other name <Unavail>

Practice address 2300 Pavilion Dr, Kingsport, TN, 37660

Phone (423) 857-5500

Fax (423) 857-7078

Enumeration date Sep 7, 2006

Last updated in NPPES Oct 15, 2015

Taxonomy & classification

273R00000X Psychiatric Hospital Unit Hospital Units · License 0000000134 (TN) Primary

Authorized official

Name Mary Krutak

Title Svp/Cfo

Phone (423) 431-6111

Other identifiers

Identifier	Type	State	Issuer
4699873	Medicaid	MI	-
000363855X	Medicaid	GA	-
004401760	Medicaid	VA	-
01600113	Medicaid	KY	-
091618800	Medicaid	FL	-
0938025	Medicaid	OH	-
17505000	Other	-	MEGELLAN
000127730	Medicaid	SC	-
00672239	Medicaid	MS	-
4400176	Medicaid	NC	-

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 Kingsport, TN.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2015-10-15. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-10-15.