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BALLAD HEALTH HOSPICE
NPI 1033225206
Hospice Care, Community Based in Johnson City, TN

Active since August 21, 2006CLIA Certified · 2 labs
509 MED TECH PKWY STE 300, JOHNSON CITY, TN 37604(423) 431-6146(423) 431-7655 Get Directions Write a Review

NPPES record last updated: December 19, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 19, 2018, Feb 21, 2018, Dec 4, 2017 and 2 more (5 updates tracked since 2017).

About Ballad Health Hospice NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BALLAD HEALTH HOSPICE (NPI 1033225206) is a healthcare organization registered as a hospice care, community based in Johnson City, Tennessee and active in the NPI registry since August 2006. The organization holds 2 active CLIA laboratory certificates and lists Mary Lynn Krutak, Evp/cfo, as its authorized official.

NPPES Registry Identity

NPI1033225206
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameMOUNTAIN STATES HEALTH ALLIANCE
Location Address509 MED TECH PKWY STE 300Johnson City, TN 37604-2579
Mailing Address311 Princeton Rd Ste 1Johnson City, TN 37601-2026 · (423) 431-6146 · Fax (423) 431-7655
Phone(423) 431-6146
Fax(423) 431-7655
Organization SubpartNo
Authorized OfficialMary Lynn KrutakEvp/cfo · (423) 302-3423
Enumeration DateAugust 21, 2006
Last NPPES UpdateDecember 19, 20185 updates tracked since enumeration
✔ NPI 1033225206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
License✔ Licensed in TN · 0000000390
509 MED TECH PKWY STE 300, Johnson City, TN 37604
Open in Google Maps ↗

Other Names 1

Doing Business AsBallad Health Hospice

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2302864

Ballad Health Hospice-Abingdon · Abingdon, VA
Active · expires Apr 16, 2028
CLIA Number49D2302864
Laboratory TypeHospice
Certificate Effective DateApril 17, 2026
Certificate Expiration DateApril 16, 2028
Laboratory DirectorLindsay R. Wilson
Laboratory Phone(423) 431-6146
Laboratory LocationBallad Health Hospice-Abingdon611 Campus Drive, Suite 500, Abingdon, VA 24210
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 44D0969252

Mountain States Health Alliance Dba Medical Center Home Care, Kp · Johnson City, TN
Active · expires Jan 9, 2028
CLIA Number44D0969252
Laboratory TypeHome Health Agency
Certificate Effective DateJanuary 10, 2026
Certificate Expiration DateJanuary 9, 2028
Laboratory DirectorMarta J. Wayt Do
Laboratory Phone(423) 431-6146
Laboratory LocationMountain States Health Alliance Dba Medical Center Home Care, Kp509 Med Tech Parkway Suite 200, Johnson City, TN 37604
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mountain States Health Alliance's NPI number?

The NPI number for Mountain States Health Alliance is 1033225206. It was assigned to this organization in the NPPES registry on August 21, 2006. The provider is doing business as Ballad Health Hospice.

Where is Mountain States Health Alliance located?

Mountain States Health Alliance is located at 509 Med Tech Pkwy Ste 300, Johnson City, TN 37604. The listed phone number is (423) 431-6146.

What is Mountain States Health Alliance's specialty?

The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.

Does Mountain States Health Alliance hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Mountain States Health Alliance was last updated on December 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.