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Mountain States Health Alliance

Pharmacy in Johnson City, TN · enumerated 2021 · authorized official Shane Hilton, Evp/Cfo.

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

National Provider Identifier

1881272854

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Registry record

Entity type Organization (Type 2)
Legal business name Mountain States Health Alliance
Other name <Unavail>
Practice address 1 Professional Park Dr Ste 21, Johnson City, TN, 37604
Fax (423) 610-3361
Enumeration date Mar 31, 2021
Last updated in NPPES Apr 17, 2024

Taxonomy & classification

333600000X Pharmacy Suppliers Primary
3336S0011X Specialty Pharmacy Suppliers Secondary

Authorized official

Name Shane Hilton
Title Evp/Cfo

Other identifiers

Identifier Type State Issuer
0440063 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

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 2024-04-17. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-04-17.