Mountain States Health Alliance

A Medicare group practice based in Johnson City, TN: 30 NPIs enrolled under one PECOS associate control ID (PAC ID 6002726718), with 31 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6002726718The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Critical Access Hospital, Part A Provider - Home Health Agency, Part A Provider - Hospice, Part A Provider - Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice, Part B Supplier - Independent Clinical
Enrolled in
TN, VA
Enrollments
25
Group size
23 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
140In 15 places

Enrollment records 25

Enrollment IDStateProvider typeNPI
O20030507000035 TN Part A Provider - Rural Health Clinic 1518079532
O20040814000170 TN Part A Provider - Hospital 1114033628
O20050329000505 TN Part A Provider - Hospital 1992813240
O20050426001136 TN Part A Provider - Hospital 1972606465
O20061113000477 TN Part A Provider - Hospital 1497859789
O20070209000588 TN Part A Provider - Hospital 1881797371
O20040415001070 TN Part B Supplier - Clinic/Group Practice 1205846508
O20080806000262 TN Part A Provider - Hospital 1710099742
O20080806000168 TN Part A Provider - Hospital 1891801734
O20080530000203 TN Part A Provider - Home Health Agency 1417030404
O20080317000508 VA Part A Provider - Rural Health Clinic 1609054733
O20080303000549 VA Part A Provider - Hospital 1861670903
O20080303000437 VA Part A Provider - Hospital 1891973939
O20110623000585 TN Part B Supplier - Independent Clinical Laboratory 1417030404
O20161216000941 VA Part B Supplier - Clinic/Group Practice 1245781954
O20170810000781 VA Part A Provider - Rural Health Clinic 1245772664
O20211026002520 VA Part A Provider - Critical Access Hospital 1205488996
O20210111000740 VA Part A Provider - Home Health Agency 1528166568
O20181011000765 TN Part A Provider - Hospice 1033605886
O20181031002806 VA Part A Provider - Home Health Agency 1962998732
O20190430000026 VA Part A Provider - Hospice 1336635192
O20190610002895 TN Part A Provider - Home Health Agency 1396717963
O20230516000795 VA Part B Supplier - Independent Clinical Laboratory 1528166568
O20230417000227 TN Part B Supplier - Independent Clinical Laboratory 1396717963
O20241016004800 VA Part B Supplier - Independent Clinical Laboratory 1336635192

NPIs in this group 30

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 31

Clinicians who reassign their Medicare benefits to this group (30) or whom Care Compare lists as members (23).

Sources for this page