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: October 25, 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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Indian Path Medical Center Transitional Care Unit is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

17

Medicare enrollment records show 17 clinicians reassign Medicare billing to Indian Path Medical Center Transitional Care Unit, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Nurse Practitioner9
Hematology/Oncology3
Internal Medicine3
Family Practice2

Clinicians, nearest first (17)

Nurse Practitioner
NPI 1649915893
111 W STONE DR STE 200
Kingsport, TN 37660
(423) 723-2030
✔ PECOS✔ Accepts Medicare1.9 mi
Internal Medicine
NPI 1316903099
111 W STONE DR STE 200
Kingsport, TN 37660
(423) 723-2030
✔ PECOS✔ Accepts Medicare1.9 mi
Hematology/Oncology
NPI 1356758239
1 PROFESSIONAL PARK DR STE 21
Johnson City, TN 37604
(423) 232-6900
✔ PECOS✔ Accepts Medicare17 mi
Internal Medicine
NPI 1871907147
1 PROFESSIONAL PARK DR STE 21
Johnson City, TN 37604
(423) 232-6900
✔ PECOS✔ Accepts Medicare19 mi
Nurse Practitioner
NPI 1346632783
1 PROFRESSIONAL PARK DR SUITE 21
Johnson City, TN 37604
(423) 232-6900
✔ PECOS✔ Accepts Medicare19 mi
Nurse Practitioner
NPI 1750005492
1 PROFESSIONAL PARK DR STE 21
Johnson City, TN 37604
(423) 232-6900
✔ PECOS✔ Accepts Medicare19 mi
Nurse Practitioner
NPI 1316272453
1 PROFESSIONAL PARK DR STE 21
Johnson City, TN 37604
(423) 232-6900
✔ PECOS✔ Accepts Medicare19 mi
Family Practice
NPI 1457644254
1497 W ELK AVE SUITE 21
Elizabethton, TN 37643
(423) 542-7420
✔ PECOS✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1487329298
1 PROFESSIONAL PARK DR STE 21
Johnson City, TN 37604
(423) 232-6900
✔ PECOS✔ Accepts Medicare26 mi
Nurse Practitioner
NPI 1740716927
1 PROFESSIONAL PARK DR STE 21
Johnson City, TN 37604
(423) 232-6900
✔ PECOS✔ Accepts Medicare26 mi
Family Practice
NPI 1609455880
1901 S SHADY ST
Mountain City, TN 37683
(423) 727-1100
✔ PECOS✔ Accepts Medicare41 mi
Nurse Practitioner
NPI 1578819439
1901 S SHADY STREET
Mountain City, TN 37683
(423) 727-1150
✔ PECOS✔ Accepts Medicare41 mi
Nurse Practitioner
NPI 1437874294
1901 S SHADY ST
Mountain City, TN 37683
(423) 727-1100
✔ PECOS✔ Accepts Medicare41 mi
Nurse Practitioner
NPI 1366962631
1901 S SHADY ST
Mountain City, TN 37683
(423) 727-1103
✔ PECOS✔ Accepts Medicare41 mi
Internal Medicine
NPI 1982898193
12180 ALDER ST
Meadowview, VA 24361
(276) 695-0205
✔ PECOS✔ Accepts Medicare41 mi
Hematology/Oncology
NPI 1700246394
88 MDG/SGHJ 4881 SUGAR MAPLE DR
Wright Patterson Afb, OH 45433
(816) 885-9531
✔ PECOS✔ Accepts Medicare240 mi
Hematology/Oncology
NPI 1801156765
3551 ROGER BROOKE DR
Fort Sam Houston, TX 78234
(210) 916-4808
✔ PECOS✔ Accepts Medicare1,043 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.

Is Mountain States Health Alliance enrolled in Medicare?

Yes. Mountain States Health Alliance is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mountain States Health Alliance?

According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 4 Medicare specialties reassign their Medicare billing to Mountain States Health Alliance. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (9), Hematology/Oncology (3) and Internal Medicine (3). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.