MEDICAL CENTER INFUSION THERAPY
NPI 1053496901
Home Infusion in Johnson City, TN

Q: What is Mountain States Health Alliance's NPI number?

The NPI number for Mountain States Health Alliance is 1053496901. It was assigned to this organization in the NPPES registry on October 26, 2006. The provider is doing business as Medical Center Infusion Therapy.

Q: What is Mountain States Health Alliance's specialty?

The primary specialty registered for this NPI is Home Infusion with taxonomy code 251F00000X.

Active since October 26, 2006

101 MED TECH PKWY, SUITE 100, JOHNSON CITY, TN 37604(423) 431-4601(423) 431-5733 Get Directions Write a Review

NPPES record last updated: March 29, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 29, 2018, Mar 14, 2018 (2 updates tracked since 2018).

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About Medical Center Infusion Therapy NPPES

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

MEDICAL CENTER INFUSION THERAPY (NPI 1053496901) is a healthcare organization registered as a home infusion in Johnson City, Tennessee and active in the NPI registry since October 2006. The organization lists Mary Lynn Krutak, Evp/cfo, as its authorized official.

NPPES Registry Identity

NPI1053496901

Entity TypeOrganization

Primary Taxonomy251F00000X

Legal Business NameMOUNTAIN STATES HEALTH ALLIANCE

Location Address101 MED TECH PKWY, SUITE 100Johnson City, TN 37604-4007

Mailing Address311 Princeton Rd Ste 1Johnson City, TN 37601-2026 · (423) 431-4601 · Fax (423) 431-5733

Phone(423) 431-4601

Fax(423) 431-5733

Organization SubpartNo

Authorized OfficialMary Lynn KrutakEvp/cfo · (423) 302-3423

Enumeration DateOctober 26, 2006

Last NPPES UpdateMarch 29, 20182 updates tracked since enumeration

✔ NPI 1053496901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHome InfusionAgencies

Taxonomy Code251F00000X

License✔ Licensed in TN · 0000000434

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

101 MED TECH PKWY, Johnson City, TN 37604

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Other Names 1

Doing Business AsMedical Center Infusion Therapy

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSE VILLANUEVA PT

Physical Medicine & Rehabilitation

101 MED TECH PKWY, SUITE 200
JOHNSON CITY, TN 37604

Washington County (423) 232-6120

JOSEPH C NANNEY PA

Physician Assistant

101 MED TECH PKWY, SUITE 305
JOHNSON CITY, TN 37604

Washington County (423) 926-6266

HOLLY RENEE BROADWATER FNP

Nurse Practitioner (Family)

101 MED TECH PKWY, SUITE 200
JOHNSON CITY, TN 37604

Washington County (423) 232-6120

DR. SHANE M ADAMS MD

Family Medicine

101 MED TECH PKWY, SUITE 305
JOHNSON CITY, TN 37604

Washington County (423) 926-6266

DR. FERNANDO BENDFELDT M.D.

Psychiatry & Neurology (Psychiatry)

101 MED TECH PKWY, STE 407
JOHNSON CITY, TN 37604

Washington County (423) 283-8801

SAMEH WARD M.D.

Pain Medicine (Interventional Pain Medicine)

101 MED TECH PKWY, SUITE 200
JOHNSON CITY, TN 37604

Washington County (423) 232-6120

PREMIER PEDIATRICS, LLC

Pediatrics

101 MED TECH PKWY, SUITE 405
JOHNSON CITY, TN 37604

Washington County (423) 929-2454

TAYLOR TYREE

Nurse Practitioner (Family)

101 MED TECH PKWY
JOHNSON CITY, TN 37604

Washington County (423) 232-6120

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 1053496901. It was assigned to this organization in the NPPES registry on October 26, 2006. The provider is doing business as Medical Center Infusion Therapy.

Where is Mountain States Health Alliance located?

Mountain States Health Alliance is located at 101 Med Tech Pkwy Suite 100, Johnson City, TN 37604. The listed phone number is (423) 431-4601.

What is Mountain States Health Alliance's specialty?

The primary specialty registered for this NPI is Home Infusion with taxonomy code 251F00000X.

When was this NPI record last updated?

The NPPES record for Mountain States Health Alliance was last updated on March 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.