OrganizationActive
Mountain States Health Alliance
NPI 1720468200 · General Acute Care Hospital · Kingsport, TN
Mountain States Health Alliance is a General Acute Care Hospital organization in Kingsport, TN (NPI 1720468200).
Provider details
- NPI number
- 1720468200
- Entity type
- Organization
- Primary specialty
- General Acute Care HospitalHospitals
- Organization subpart
- No
- Authorized official
- Gregory Wilgocki, Corp Director Reimbursement(423) 431-5794
- License
- 134 (TN)
Specialties & taxonomies
Hospitals
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2204 Pavilion Dr
Suite 115
Kingsport, TN 37660-4657
Phone: (423) 857-6777
Fax: (423) 857-6788
Street-level locationGet directions
Mailing address
311 Princeton Rd Ste 1
Johnson City, TN 37601-2026
Other names (DBA / former)
- Doing business as
- Mountain States Rehabilitation at Ipmc
Registry dates
- Enumerated
- 2015-06-01
- Last updated
- 2017-12-11
Frequently asked questions
- What is Mountain States Health Alliance's NPI number?
- Mountain States Health Alliance's National Provider Identifier (NPI) is 1720468200, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mountain States Health Alliance?
- Mountain States Health Alliance is classified in the NPPES registry as General Acute Care Hospital (Hospitals).
- Where is Mountain States Health Alliance located?
- Mountain States Health Alliance's practice location on file with NPPES is 2204 Pavilion Dr, Kingsport, TN 37660-4657.
- What is Mountain States Health Alliance's phone number?
- The practice phone number listed in the NPPES registry for Mountain States Health Alliance is (423) 857-6777.
- Who is the authorized official for Mountain States Health Alliance?
- The authorized official listed on Mountain States Health Alliance's NPPES record is Gregory Wilgocki, Corp Director Reimbursement. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mountain States Health Alliance's NPI active?
- Yes — Mountain States Health Alliance's NPI (1720468200) is active in the NPPES registry as of the last update on 2017-12-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.