Mountain States Health Alliance

LBN: Mountain States Health Alliance
Mountain States Health Alliance is an health care organization with primary practice located at 58 Carroll Street , Lebanon VA 24266-4510. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as the primary health care specialty. Mountain States Health Alliance can be contacted via phone (276) 883-8000, or through Krutak, Mary Lynn via phone (423) 302-3423.

Contact Information

Primary practice address
58 Carroll Street Lebanon VA 24266-4510
Phone: (276) 883-8000
Fax: (276) 883-8250
Website:
Map and Directions
Authorized official contact:
Name: Krutak, Mary Lynn
Phone: (423) 302-3423

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X H1892 Virginia

Profile Details

NPI number 1871761726
LBN Legal business name Mountain States Health Alliance
DBA Doing business as
Authorized official Krutak, Mary Lynn
Entity Organization
Organization subpart 1 No
Enumeration date Feb 13th, 2008
Last updated Mar 14th, 2018 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1871761726 NPPES
Virginia MEDICAID 1922003730

Popular Providers