Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mountain States Health Alliance

Organization Home Infusion Agency · NPI 1053496901

Mountain States Health Alliance is a Home Infusion Agency in Johnson City, Tennessee. Licensed in Tennessee. Registered with an NPI since 2006.

Licensed in
TN
In the registry since
2006
Specialties on file
2

Practice location Address checks out

101 Med Tech Pkwy Ste 100
Johnson City, TN 37604-4007
Phone: (423) 431-4601
Fax: (423) 431-5733
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Infusion Agency (primary) Taxonomy 251F00000X · Licence 0000000434 (TN)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1053496901
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Krutak — Evp/Cfo · (423) 302-3423
Other names Medical Center Infusion Therapy
NPI enumeratedOctober 26, 2006
Last updated in NPPESMarch 29, 2018
Mailing address311 Princeton Rd Ste 1, Johnson City, TN 37601-2026