MOUNTAIN STATES HEALTH ALLIANCE
NPI 1073064333
General Acute Care Hospital - Children in Johnson City, TN
NPI Status: Active since October 20, 2016
Contact Information
400 N ST OF FRANKLIN RD
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 431-5339
- Organization
- General Acute Care Hospital
- Children
- CLIA Number: 44D1105273
- CLIA Cert. Type: Other - med center satellite
- CLIA Exp. Date: 01-25-2026
About MOUNTAIN STATES HEALTH ALLIANCE
This page provides the complete NPI Profile along with additional information for Mountain States Health Alliance, a provider established in Johnson City, Tennessee operating as a General Acute Care Hospital, focusing in children . The healthcare provider is registered in the NPI registry with number 1073064333 assigned on October 2016. The practitioner's primary taxonomy code is 282NC2000X with license number 21920 (TN). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Sandra Castro Md (Medical Director)
- NPI
- 1073064333
- Provider Name
- MOUNTAIN STATES HEALTH ALLIANCE
- Entity Type
- Organization
- Location Address
- 400 N ST OF FRANKLIN RD JOHNSON CITY, TN 37604
- Location Phone
- (423) 431-5339
- Mailing Address
- 400 N STATE OF FRANKLIN RD JOHNSON CITY, TN 37604
- Mailing Phone
- (423) 431-5339
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-20-2016
- Last Update Date
- 10-20-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
General Acute Care Hospital Children
- Taxonomy Code
- 282NC2000X
- Type
- Hospitals
- License No.
- 21920
- License State
- TN
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 44D1105273
- Facility Type
- Other - med center satellite
- Certificate Effective Date
- January 26, 2024
- Certificate Expiration Date
- January 25, 2026
- Laboratory Director
- DR. EMILY R. PATTERSON
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Mountain States Health Alliance after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1073064333, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 57 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073064333, enumerated as an "organization" on October 20, 2016.
The provider is located at 400 N ST OF FRANKLIN RD JOHNSON CITY, TN 37604 and the phone number is (423) 431-5339.
General Acute Care Hospital with taxonomy code 282NC2000X and a focus in Children.
