Mountain States Health Alliance
Home Infusion
101 Med Tech Pkwy, Suite 100, Johnson City
Tennessee, 37604-4007
423-431-4601 423-431-5733
Mountain States Health Alliance is a Home Infusion in Johnson City, Tennessee. It is located at 101 Med Tech Pkwy, Suite 100, Johnson City and it's customer support contact number is 423-431-4601. The authorized person of Mountain States Health Alliance is Mary Lynn Krutak who is Evp/cfo of this DME and his contact number is 423-302-3423. Active license number of Mountain States Health Alliance is 0000000434 for Home Infusion in Tennessee.
Mountain States Health Alliance is a medical supplier who supplies medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Mountain States Health Alliance type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Mountain States Health Alliance |
| Type: | Home Infusion |
| Location: | 101 Med Tech Pkwy, Suite 100, Johnson City,
Tennessee, 37604-4007 |
| Phone: | 423-431-4601 |
| Fax: | 423-431-5733 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Mary Lynn Krutak |
| Position: | Evp/cfo |
| Contact Number: | 423-302-3423 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1053496901 |
| NPI Enumeration Date: | 26 Oct, 2006 |
| NPI Last Update On: | 29 Mar, 2018 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mountain States Health Alliance are as mentioned below.
| Specialization | License Number | State | Status | |
| Home Infusion | 0000000434 | Tennessee | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 311 Princeton Rd Ste 1,
Johnson City, Tennessee |
| Zip: | 37601-2026 |
| Phone Number: | 423-431-4601 |
| Fax Number: | 423-431-5733 |
Patients can reach Mountain States Health Alliance at
101 Med Tech Pkwy, Suite 100, Johnson City, Tennessee or can
call on customer care at 423-431-4601.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.