JOHNSON CITY MEDICAL CENTER SKILLED NURSING FACILITY
NPI 1124139464
Skilled Nursing Facility in Johnson City, TN

NPI Status: Active since August 31, 2006

Contact Information

2511 WESLEY ST
JOHNSON CITY, TN
ZIP 37601
Phone: (423) 952-1700
Fax: (423) 952-3398

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  • Organization
  • Skilled Nursing Facility

About JOHNSON CITY MEDICAL CENTER SKILLED NURSING FACILITY

This page provides the complete NPI Profile along with additional information for Johnson City Medical Center Skilled Nursing Facility, a provider established in Johnson City, Tennessee operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1124139464 assigned on August 2006. The practitioner's primary taxonomy code is 314000000X with license number 0000000329 (TN). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Johnson City Medical Center Skilled Nursing Facility. The authorized official of this NPI record is Mr. Marvin H Eichorn (Svp/cfo)

NPI
1124139464
Provider Legal Name
MOUNTAIN STATES HEALTH ALLIANCE
Other Organization Name
JOHNSON CITY MEDICAL CENTER SKILLED NURSING FACILITY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2511 WESLEY ST JOHNSON CITY, TN 37601
Location Phone
(423) 952-1700
Location Fax
(423) 952-3398
Mailing Address
2511 WESLEY ST JOHNSON CITY, TN 37601
Mailing Phone
(423) 952-1700
Mailing Fax
(423) 952-3398
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-31-2006
Last Update Date
08-22-2020
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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

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
License No.
0000000329
License State
TN
Taxonomy Description
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. MARVIN H EICHORN

Authorized Official Title
SVP/CFO
Authorized Official Phone
(423) 431-6111

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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 1124139464, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

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.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
2
Doubled → 4
Pos 4
4
Unchanged
Pos 5
1
Doubled → 2
Pos 6
3
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
4
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
4
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 2 → 4 1 → 2 9 → 18 → 9 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 4 + 4 + 2 + 3 + 1 + 8 + 4 + 1 + 2 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1124139464.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Physical Medicine & Rehabilitation
2511 WESLEY ST
JOHNSON CITY, TN 37601
Occupational Therapist
2511 WESLEY ST
JOHNSON CITY, TN 37601
Physical Medicine & Rehabilitation
2511 WESLEY ST
JOHNSON CITY, TN 37601
Rehabilitation Practitioner
2511 WESLEY ST
JOHNSON CITY, TN 37601
Physical Medicine & Rehabilitation
2511 WESLEY ST
JOHNSON CITY, TN 37601
Rehabilitation Unit
2511 WESLEY ST
JOHNSON CITY, TN 37601
Skilled Nursing Facility
2511 WESLEY ST
JOHNSON CITY, TN 37601
Registered Nurse (Rehabilitation)
2511 WESLEY ST
JOHNSON CITY, TN 37601
Rehabilitation Hospital
2511 WESLEY ST
JOHNSON CITY, TN 37601

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124139464, enumerated as an "organization" on August 31, 2006.

The provider is located at 2511 WESLEY ST JOHNSON CITY, TN 37601 and the phone number is (423) 952-1700.

Skilled Nursing Facility with taxonomy code 314000000X.