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

Mountain States Health Alliance

Organization Psychiatric Hospital Unit · NPI 1417050980

Mountain States Health Alliance is a Psychiatric Hospital Unit in Kingsport, Tennessee. Licensed in Tennessee. Registered with an NPI since 2006.

Licensed in
TN
In the registry since
2006

Practice location Address checks out

2300 Pavilion Dr
Kingsport, TN 37660-4622
Phone: (423) 857-5500
Fax: (423) 857-7078
Show map & directions

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

Specialties & licences

Psychiatric Hospital Unit (primary) Taxonomy 273R00000X · Licence 0000000134 (TN)

Record details

NPI number1417050980
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Krutak — Svp/Cfo · (423) 431-6111
Other names Indian Path Pavilion
NPI enumeratedSeptember 7, 2006
Last updated in NPPESOctober 15, 2015
Mailing address311 Princeton Rd, Johnson City, TN 37601-2026

Other providers in Kingsport