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Mountain States Health Alliance

Rehabilitation Hospital Unit in Johnson City, TN · enumerated 2006 · authorized official Mary Krutak, Svp/Cfo.

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

National Provider Identifier

1609984954

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Registry record

Entity type Organization (Type 2)
Legal business name Mountain States Health Alliance
Other name <Unavail>
Practice address 2511 Wesley St, Johnson City, TN, 37601
Fax (423) 431-6525
Enumeration date Aug 28, 2006
Last updated in NPPES Oct 30, 2015

Taxonomy & classification

273Y00000X Rehabilitation Hospital Unit Hospital Units · License 0000000121 (TN) Primary

Authorized official

Name Mary Krutak
Title Svp/Cfo

Other identifiers

Identifier Type State Issuer
004400631 Medicaid VA -
01620418 Medicaid KY -
000262138X Medicaid GA -
JOH0063N Medicaid AL -
01675483 Medicaid NY -
0579913 Medicaid OH -
091618800 Medicaid FL -
440063 Medicaid NC -
05431336 Medicaid MS -
463496 Medicaid SC -
4688190 Medicaid MI -
9802156000 Medicaid WV -

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 the NPI number for Mountain States Health Alliance?
The NPI for Mountain States Health Alliance is 1609984954, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Mountain States Health Alliance?
NPPES lists Mary Krutak (Svp/Cfo) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-10-30.