INDIAN PATH MEDICAL CENTER TRANSITIONAL CARE UNIT
NPI 1326141896
Skilled Nursing Facility in Kingsport, TN

Active since September 07, 2006CLIA 44D0311044 · Accreditation
2000 BROOKSIDE DR, KINGSPORT, TN 37660(423) 857-7000(423) 857-7078 Get Directions Write a Review

NPPES record last updated: October 30, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Indian Path Medical Center Transitional Care Unit NPPES

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

INDIAN PATH MEDICAL CENTER TRANSITIONAL CARE UNIT (NPI 1326141896) is a healthcare organization registered as a skilled nursing facility in Kingsport, Tennessee and active in the NPI registry since September 2006. The organization holds an CLIA Accreditation certificate valid through March 14, 2027 and lists Mary Lynn Krutak, Svp/cfo, as its authorized official.

NPPES Registry Identity

NPI1326141896
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameMOUNTAIN STATES HEALTH ALLIANCE
Location Address2000 BROOKSIDE DRKingsport, TN 37660-4627
Mailing Address311 Princeton RdJohnson City, TN 37601-2026
Fax(423) 857-7078
Organization SubpartNo
Authorized OfficialMary Lynn KrutakSvp/cfo · (423) 302-3774
Enumeration DateSeptember 7, 2006
Last NPPES UpdateOctober 30, 2015
NPI 1326141896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in TN · 0000000336
Definition
(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.
2000 BROOKSIDE DR, Kingsport, TN 37660

Other Names 1

Doing Business AsIndian Path Medical Center Transitional Care Unit

Other Identifiers 10

Medicaid004401760VA
Medicaid01600113KY
Medicaid091618800FL
Medicaid000363855XGA
Medicare OSCAR/certification445355TN
Medicaid0938025OH
Medicaid4400176NC
Medicaid00672239MS
Medicaid4699873MI
Medicaid000127730SC

CLIA Laboratory Certificates CMS CLIA

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 Accreditation 44D0311044

Indian Path Medical Center · Kingsport, TN
Active · expires Mar 14, 2027
CLIA Number44D0311044
Laboratory TypeHospital
Certificate Effective DateMarch 15, 2025
Certificate Expiration DateMarch 14, 2027
Laboratory DirectorDr. Thomas A. Barklow
Laboratory Phone(423) 857-7150
Laboratory LocationIndian Path Medical Center2000 Brookside Rd, Kingsport, TN 37660
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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.

Anesthesiology
2000 BROOKSIDE DR
KINGSPORT, TN 37660
Internal Medicine
2000 BROOKSIDE DR, THIRD FLOOR
KINGSPORT, TN 37660
Emergency Medicine
2000 BROOKSIDE DR
KINGSPORT, TN 37660
Family Medicine
2000 BROOKSIDE DR
KINGSPORT, TN 37660
Nurse Practitioner (Pediatrics)
2000 BROOKSIDE DR
KINGSPORT, TN 37660
Emergency Medicine
2000 BROOKSIDE DR, INDIAN PATH HOSPITAL
KINGSPORT, TN 37660
Nurse Anesthetist, Certified Registered
2000 BROOKSIDE DR
KINGSPORT, TN 37660
Nurse Practitioner (Family)
2000 BROOKSIDE DR, 3RD FLOOR
KINGSPORT, TN 37660

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 1326141896. It was assigned to this organization in the NPPES registry on September 7, 2006. The provider is doing business as Indian Path Medical Center Transitional Care Unit.

Where is Mountain States Health Alliance located?

Mountain States Health Alliance is located at 2000 Brookside Dr, Kingsport, TN 37660. The listed phone number is (423) 857-7000.

What is Mountain States Health Alliance's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Mountain States Health Alliance hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 44D0311044) is associated with this NPI, valid through March 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mountain States Health Alliance was last updated on October 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.