OrganizationActive
Mountain States Health Alliance
NPI 1962915652 · Psychiatric Hospital Unit · Johnson City, TN
Provider details
- NPI number
- 1962915652
- Entity type
- Organization
- Primary specialty
- Psychiatric Hospital UnitHospital Units
- Parent organization
- Mountain States Health Alliance
- Authorized official
- Mary Krutak, Evp/Cfo
Practice location
400 N State of Franklin Rd
Johnson City, TN 37604-6035
Phone: (423) 431-6111
Fax: (423) 431-3549
Mailing address
311 Princeton Rd Ste 1
Johnson City, TN 37601-2026
Registry dates
- Enumerated
- 2017-11-16
- Last updated
- 2018-03-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.