Msmg Rural Health Cliinic Lebanon

LBN: Mountain States Health Alliance
Msmg Rural Health Cliinic Lebanon is an health care organization with primary practice located at 58 Carroll St Suite 3 Dept Of Russell County Medical Center, Lebanon VA 24266. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Mountain States Health Alliance can be contacted via phone (276) 883-8340, or through Kilgore, Carl via phone (423) 915-5185.

Contact Information

Primary practice address
58 Carroll St Suite 3 Dept Of Russell County Medical Center Lebanon VA 24266
Phone: (276) 883-8340
Fax: (276) 883-8341
Website:
Map and Directions
Authorized official contact:
Name: Kilgore, Carl
Phone: (423) 915-5185

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1245781954
LBN Legal business name Mountain States Health Alliance
DBA Doing business as Msmg Rural Health Cliinic Lebanon
Authorized official Kilgore, Carl
Entity Organization
Organization subpart 1 No
Enumeration date Oct 18th, 2016
Last updated Jun 16th, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245781954 NPPES
Virginia MEDICAID 1245781954
Virginia Other 020157701

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