Mountain States Health Alliance

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

0000000130 Issued in TN

Legal business name

MOUNTAIN STATES HEALTH ALLIANCE

Doing business as

Johnson County Home Health

Practice address

1987A S Shady St
Mountain City, TN 37683-2021

Phone

(423) 727-3250

Fax

(423) 727-9170

NPI assigned

Aug 31, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gregory Lee Wilgocki

Title

Corp Director Reimbursement

Phone

(423) 431-5794

Specialties & licenses 1

Addresses

Other names 1

• Johnson County Home Health Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Mountain States Health Alliance

  dba Sycamore Shoals Hospital Psychiatric Unit

  • Psychiatric Hospital Unit
  • Elizabethton, TN
  • NPI 1710099742

  Member Of

  NPD member

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1306957659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 PRINCETON RD STE 1",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376012026",
            "telephone_number": "423-727-3250",
            "fax_number": "423-727-9170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1987A S SHADY ST",
            "city": "MOUNTAIN CITY",
            "state": "TN",
            "postal_code": "376832021",
            "telephone_number": "423-727-3250",
            "fax_number": "423-727-9170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN STATES HEALTH ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WILGOCKI",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CORP DIRECTOR REIMBURSEMENT",
        "authorized_official_telephone_number": "423-431-5794"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TN",
            "license": "0000000130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Johnson County Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Taunda Leanne Motsinger, FNP
• Mountain City Family Vision Inc.
• Mountain City Pediatric Therapy
• Mountain Home Vamc
• Mountain States Health Alliance (BHRHC Mt. City)
• Mountain States Health Alliance (Johnson County Community Hospital)
• Mountain States Health Alliance (Bhrhc Mtncity)
• Mountain Youth Academy
• Heather Newman, MD
• Kenneth Ray Norfleet, RPH

• Home Health Agency in Mountain City, TN
• Providers in Mountain City, TN by specialty
• Home Health Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.