BHRHC MTNCITY
NPI 1518079532
Clinic/Center - Rural Health in Mountain City, TN

Q: What is Mountain States Health Alliance's NPI number?

The NPI number for Mountain States Health Alliance is 1518079532. It was assigned to this organization in the NPPES registry on August 31, 2006. The provider is doing business as Bhrhc Mtncity.

Q: What is Mountain States Health Alliance's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Active since August 31, 2006

1901 S SHADY ST, MOUNTAIN CITY, TN 37683(423) 727-1103(423) 727-1140 Get Directions Write a Review

NPPES record last updated: April 16, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 16, 2024, Oct 20, 2021, Dec 30, 2019 and 4 more (7 updates tracked since 2017).

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About Bhrhc Mtncity NPPES

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

BHRHC MTNCITY (NPI 1518079532) is a healthcare organization registered as a rural health in Mountain City, Tennessee and active in the NPI registry since August 2006. The organization lists Shane Edwin Hilton, Evp/cfo, as its authorized official.

NPPES Registry Identity

NPI1518079532

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameMOUNTAIN STATES HEALTH ALLIANCE

Location Address1901 S SHADY STMountain City, TN 37683-2021

Mailing Address311 Princeton Rd Ste 1Johnson City, TN 37601-2026 · (423) 727-1103 · Fax (423) 727-1140

Phone(423) 727-1103

Fax(423) 727-1140

Organization SubpartNo

Authorized OfficialShane Edwin HiltonEvp/cfo · (423) 302-3467

Enumeration DateAugust 31, 2006

Last NPPES UpdateApril 16, 20247 updates tracked since enumeration

NPPES CertifiedApril 16, 2024

✔ NPI 1518079532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

License✔ Licensed in TN · 0000000038

1901 S SHADY ST, Mountain City, TN 37683

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Other Names 1

Doing Business AsBhrhc Mtncity

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bhrhc Mtncity is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateTennesseeEnrollment IDO20030507000035Part A · Rural Health ClinicDue dateJanuary 31, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

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.

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

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