OrganizationActive
Mountain States Health Alliance
NPI 1033225206 · Community Based Hospice Care Agency · Johnson City, TN
Provider details
- NPI number
- 1033225206
- Entity type
- Organization
- Primary specialty
- Community Based Hospice Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Mary Krutak, Evp/Cfo(423) 302-3423
- License
- 0000000390 (TN)
Specialties & taxonomies
Agencies
Practice location
509 Med Tech Pkwy Ste 300
Johnson City, TN 37604-2579
Phone: (423) 431-6146
Fax: (423) 431-7655
Approximate (ZIP-level) locationGet directions
Mailing address
311 Princeton Rd Ste 1
Johnson City, TN 37601-2026
Other names (DBA / former)
- Doing business as
- Ballad Health Hospice
Registry dates
- Enumerated
- 2006-08-21
- Last updated
- 2018-12-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.