BHRHC LEBANON
NPI 1245772664
Clinic/Center - Rural Health in Lebanon, VA

Active since November 16, 2016CLIA 49D2122330 · Waiver
344 OVERLOOK DR STE 100, LEBANON, VA 24266(276) 883-8042(276) 883-8044 Get Directions Write a Review

NPPES record last updated: April 16, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 16, 2024, Oct 20, 2021, Apr 22, 2021 and 5 more (8 updates tracked since 2016).

About Bhrhc Lebanon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BHRHC LEBANON (NPI 1245772664) is a healthcare organization registered as a rural health in Lebanon, Virginia and active in the NPI registry since November 2016. The organization holds a CLIA Waiver certificate valid through November 27, 2026 and lists Shane Edwin Hilton, Evp/cfo, as its authorized official.

NPPES Registry Identity

NPI1245772664
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMOUNTAIN STATES HEALTH ALLIANCE
Location Address344 OVERLOOK DR STE 100Lebanon, VA 24266-3436
Mailing Address311 Princeton Rd Ste 1Johnson City, TN 37601-2026 · (276) 883-8042 · Fax (276) 883-8044
Fax(276) 883-8044
Organization SubpartNo
Authorized OfficialShane Edwin HiltonEvp/cfo · (423) 302-3467
Enumeration DateNovember 16, 2016
Last NPPES UpdateApril 16, 20248 updates tracked since enumeration
NPPES CertifiedApril 16, 2024
NPI 1245772664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
344 OVERLOOK DR STE 100, Lebanon, VA 24266

Other Names 1

Doing Business AsBhrhc Lebanon

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2122330

Bhrhc Lebanon · Lebanon, VA
Active · expires Nov 27, 2026
CLIA Number49D2122330
Laboratory TypeRural Health Clinic
Certificate Effective DateNovember 28, 2024
Certificate Expiration DateNovember 27, 2026
Laboratory DirectorTrenton Keel
Laboratory Phone(276) 883-8042
Laboratory LocationBhrhc Lebanon344 Overlook Drve Suite 100, Lebanon, VA 24266
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
344 OVERLOOK DR STE 100
LEBANON, VA 24266
Clinic/Center (Rural Health)
344 OVERLOOK DR STE 100
LEBANON, VA 24266
Nurse Practitioner (Family)
344 OVERLOOK DR STE 100
LEBANON, VA 24266

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mountain States Health Alliance's NPI number?

The NPI number for Mountain States Health Alliance is 1245772664. It was assigned to this organization in the NPPES registry on November 16, 2016. The provider is doing business as Bhrhc Lebanon.

Where is Mountain States Health Alliance located?

Mountain States Health Alliance is located at 344 Overlook Dr Ste 100, Lebanon, VA 24266. The listed phone number is (276) 883-8042.

What is Mountain States Health Alliance's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Mountain States Health Alliance hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2122330) is associated with this NPI, valid through November 27, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mountain States Health Alliance was last updated on April 16, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.