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MOUNTAIN STATES REHABILITATION AT IPMC
NPI 1720468200
General Acute Care Hospital in Kingsport, TN

Active since June 01, 2015
2204 PAVILION DR, SUITE 115, KINGSPORT, TN 37660(423) 857-6777(423) 857-6788 Get Directions Write a Review

NPPES record last updated: December 11, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 11, 2017, Aug 9, 2016 (2 updates tracked since 2016).

About Mountain States Rehabilitation At Ipmc NPPES

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

MOUNTAIN STATES REHABILITATION AT IPMC (NPI 1720468200) is a healthcare organization registered as a general acute care hospital in Kingsport, Tennessee and active in the NPI registry since June 2015. The organization lists Gregory Lee Wilgocki, Corp Director Reimbursement, as its authorized official.

NPPES Registry Identity

NPI1720468200
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameMOUNTAIN STATES HEALTH ALLIANCE
Location Address2204 PAVILION DR, SUITE 115Kingsport, TN 37660-4657
Mailing Address311 Princeton Rd Ste 1Johnson City, TN 37601-2026 · (423) 857-6777 · Fax (423) 857-6788
Phone(423) 857-6777
Fax(423) 857-6788
Organization SubpartNo
Authorized OfficialGregory Lee WilgockiCorp Director Reimbursement · (423) 431-5794
Enumeration DateJune 1, 2015
Last NPPES UpdateDecember 11, 20172 updates tracked since enumeration
✔ NPI 1720468200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
License✔ Licensed in TN · 134
Definition

An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

2204 PAVILION DR, Kingsport, TN 37660
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Other Names 1

Doing Business AsMountain States Rehabilitation At Ipmc

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. JOANNE RICE CRNA
Nurse Anesthetist, Certified Registered
2204 PAVILION DR, SUITE 105
KINGSPORT, TN 37660
Sullivan County (423) 392-6100
REBECCA JANE HAMILTON NP
Nurse Practitioner
2204 PAVILION DR, SUITE 108
KINGSPORT, TN 37660
Sullivan County (423) 392-6100
MRS. LAUREN AMBROSIA DALEY NP
Nurse Practitioner
2204 PAVILION DR, SUITE 108
KINGSPORT, TN 37660
Sullivan County (423) 392-6100
KELLY G MCQUEEN DO
Family Medicine
2204 PAVILION DR, SUITE 310
KINGSPORT, TN 37660
Sullivan County (423) 224-3900
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Pediatrics
2204 PAVILION DR, SUITE 210
KINGSPORT, TN 37660
Sullivan County (423) 224-3933
WILLIAM J STEPTOE MD
Internal Medicine
2204 PAVILION DR, SUITE 310
KINGSPORT, TN 37660
Sullivan County (423) 224-3900
JAMES BRADLEY GAITHER CRNA
Nurse Anesthetist, Certified Registered
2204 PAVILION DR, SUITE 105
KINGSPORT, TN 37660
Sullivan County (423) 392-6343
ANITA ARMARAM ALWANI MD
Internal Medicine
2204 PAVILION DR, 200
KINGSPORT, TN 37660
Sullivan County (423) 246-0703

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 1720468200. It was assigned to this organization in the NPPES registry on June 1, 2015. The provider is doing business as Mountain States Rehabilitation At Ipmc.

Where is Mountain States Health Alliance located?

Mountain States Health Alliance is located at 2204 Pavilion Dr Suite 115, Kingsport, TN 37660. The listed phone number is (423) 857-6777.

What is Mountain States Health Alliance's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

When was this NPI record last updated?

The NPPES record for Mountain States Health Alliance was last updated on December 11, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.