INDIAN PATH PAVILION
NPI 1417050980
Psychiatric Unit in Kingsport, TN
About Indian Path Pavilion NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INDIAN PATH PAVILION (NPI 1417050980) is a healthcare organization registered as a psychiatric unit in Kingsport, Tennessee and active in the NPI registry since September 2006. The organization lists Mary L Krutak, Svp/cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 11
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.
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 1417050980. It was assigned to this organization in the NPPES registry on September 7, 2006. The provider is doing business as Indian Path Pavilion.
Where is Mountain States Health Alliance located?
Mountain States Health Alliance is located at 2300 Pavilion Dr, Kingsport, TN 37660. The listed phone number is (423) 857-5500.
What is Mountain States Health Alliance's specialty?
The primary specialty registered for this NPI is Psychiatric Unit with taxonomy code 273R00000X.
When was this NPI record last updated?
The NPPES record for Mountain States Health Alliance was last updated on October 15, 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.