JOHNSON CITY MEDICAL CENTER
NPI 1962915652
Psychiatric Unit in Johnson City, TN

NPI Status: Active since November 16, 2017

Contact Information

400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 431-6111
Fax: (423) 431-3549

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  • Organization
  • Psychiatric Unit

About JOHNSON CITY MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for Johnson City Medical Center, a provider established in Johnson City, Tennessee operating as a Psychiatric Unit. The healthcare provider is registered in the NPI registry with number 1962915652 assigned on November 2017. The practitioner's primary taxonomy code is 273R00000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as Johnson City Medical Center. The authorized official of this NPI record is Mary Lynn Krutak (Evp/cfo)

NPI
1962915652
Provider Legal Name
MOUNTAIN STATES HEALTH ALLIANCE
Other Organization Name
JOHNSON CITY MEDICAL CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
400 N STATE OF FRANKLIN RD JOHNSON CITY, TN 37604
Location Phone
(423) 431-6111
Location Fax
(423) 431-3549
Mailing Address
311 PRINCETON RD STE 1 JOHNSON CITY, TN 37601
Mailing Phone
(423) 431-6111
Mailing Fax
(423) 431-3549
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-16-2017
Last Update Date
03-14-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatric Unit

Taxonomy Code
273R00000X
Type
Hospital Units
Taxonomy Description
In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MARY LYNN KRUTAK

Authorized Official Title
EVP/CFO
Authorized Official Phone
(423) 302-3423

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1962915652, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
2
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
1
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
6
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 9 → 18 → 9 5 → 10 → 1 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 2 + 2 + 1 + 8 + 1 + 1 + 0 + 6 + 1 + 0 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1962915652.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine (Critical Care Medicine)
400 N STATE OF FRANKLIN RD, ROOM 2746
JOHNSON CITY, TN 37604
Pediatrics (Neonatal-Perinatal Medicine)
400 N STATE OF FRANKLIN RD, 1ST FLOOR
JOHNSON CITY, TN 37604
Internal Medicine (Hematology & Oncology)
400 N STATE OF FRANKLIN RD, 1ST FLOOR
JOHNSON CITY, TN 37604
Pharmacist (Pharmacotherapy)
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Registered Nurse (Case Management)
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Radiology (Radiation Oncology)
400 N STATE OF FRANKLIN RD, CANCER TREATMENT CENTER
JOHNSON CITY, TN 37604
Pathology (Anatomic Pathology & Clinical Pathology)
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Pathology (Anatomic Pathology & Clinical Pathology)
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Pathology (Anatomic Pathology & Clinical Pathology)
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Pathology (Anatomic Pathology & Clinical Pathology)
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Pathology (Anatomic Pathology & Clinical Pathology)
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Pathology (Anatomic Pathology & Clinical Pathology)
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Pathology (Anatomic Pathology & Clinical Pathology)
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Nurse Practitioner
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Internal Medicine (Hematology & Oncology)
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Internal Medicine
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Emergency Medicine
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Nurse Practitioner
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Pharmacist (Pharmacotherapy)
400 N STATE OF FRANKLIN RD, PHARMACY SERVICES
JOHNSON CITY, TN 37604
Pathology (Anatomic Pathology & Clinical Pathology)
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962915652, enumerated as an "organization" on November 16, 2017.

The provider is located at 400 N STATE OF FRANKLIN RD JOHNSON CITY, TN 37604 and the phone number is (423) 431-6111.

Psychiatric Unit with taxonomy code 273R00000X.