BHRHC ST. PAUL
NPI 1386813616
Clinic/Center - Rural Health in St Paul, VA

Active since February 20, 2008CLIA 49D0916568 · Waiver
16431 WISE ST, ST PAUL, VA 24283(276) 762-2300(276) 762-0612 Get Directions Write a Review

NPPES record last updated: August 12, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 12, 2024, Feb 15, 2017, Feb 9, 2016 (3 updates tracked since 2016).

About Bhrhc St. Paul NPPES

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

BHRHC ST. PAUL (NPI 1386813616) is a healthcare organization registered as a rural health in St Paul, Virginia and active in the NPI registry since February 2008. The organization holds a CLIA Waiver certificate valid through July 25, 2028 and lists Juanita Harwood, Director, as its authorized official.

NPPES Registry Identity

NPI1386813616
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMOUNTAIN STATES HEALTH ALLIANCE
Location Address16431 WISE STSt Paul, VA 24283
Mailing Address1021 W Oakland Ave Ste 310Johnson City, TN 37604-2192 · (423) 302-6567 · Fax (276) 762-0612
Fax(276) 762-0612
Organization SubpartNo
Authorized OfficialJuanita HarwoodDirector · (423) 392-6565
Enumeration DateFebruary 20, 2008
Last NPPES UpdateAugust 12, 20243 updates tracked since enumeration
NPPES CertifiedAugust 12, 2024
✔ NPI 1386813616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
16431 WISE ST, St Paul, VA 24283

Other Names 3

Doing Business AsBhrhc St. Paul
Doing Business AsBhrhc St Paul
Doing Business AsMsmg Fp St Pa

Other Identifiers 2

Other020157701VI · Department Of Labor
Medicaid1386813616VA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bhrhc St. Paul is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

19

Medicare enrollment records show 19 clinicians reassign Medicare billing to Bhrhc St. Paul, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 5

Psychiatry6
Internal Medicine5
Nurse Practitioner5
Family Practice2
Mental Health Counselor1

Clinicians, nearest first (19)

Internal Medicine
NPI 1740772359
16431 WISE ST
Saint Paul, VA 24283
(276) 762-2300
✔ PECOSSame address
Internal Medicine
NPI 1497726376
515 FRONT ST W
Coeburn, VA 24230
(276) 395-2389
✔ PECOS✔ Accepts Medicare9.7 mi
Nurse Practitioner
NPI 1639525975
344 OVERLOOK DR STE 100
Lebanon, VA 24266
(276) 883-8042
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1659980373
312 HOSPITAL DR
Clintwood, VA 24228
(276) 926-0300
✔ PECOS✔ Accepts Medicare19 mi
Psychiatry
NPI 1891215331
613 CAMPUS DR STE 200
Abingdon, VA 24210
(276) 628-1186
✔ PECOS22 mi
Family Practice
NPI 1740474527
613 CAMPUS DR SUITE 200
Abingdon, VA 24210
(276) 628-1186
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1881248664
613 CAMPUS DR STE 200
Abingdon, VA 24210
(276) 628-1186
✔ PECOS✔ Accepts Medicare22 mi
Mental Health Counselor
NPI 1003187477
613 CAMPUS DR STE 200
Abingdon, VA 24210
(276) 628-1186
✔ PECOS✔ Accepts Medicare22 mi
Psychiatry
NPI 1558620278
1 MEDICAL PARK BLVD FL 5
Bristol, TN 37620
(423) 844-1121
✔ PECOS✔ Accepts Medicare22 mi
Internal Medicine
NPI 1194197475
16000 JOHNSTON MEMORIAL DR FL 4
Abingdon, VA 24211
(276) 258-1000
✔ PECOS✔ Accepts Medicare26 mi
Nurse Practitioner
NPI 1649915893
111 W STONE DR STE 200
Kingsport, TN 37660
(423) 723-2030
✔ PECOS✔ Accepts Medicare27 mi
Internal Medicine
NPI 1316903099
111 W STONE DR STE 200
Kingsport, TN 37660
(423) 723-2030
✔ PECOS✔ Accepts Medicare27 mi
Internal Medicine
NPI 1982898193
12180 ALDER ST
Meadowview, VA 24361
(276) 695-0205
✔ PECOS✔ Accepts Medicare29 mi
Nurse Practitioner
NPI 1902688377
2011 2ND ST
Richlands, VA 24641
(276) 345-9900
✔ PECOS✔ Accepts Medicare31 mi
Family Practice
NPI 1073779799
1018 CHASE DR
Johnson City, TN 37604
(423) 282-3379
✔ PECOS✔ Accepts Medicare39 mi
Psychiatry
NPI 1659931475
701 MED TECH PKWY STE 200
Johnson City, TN 37604
(423) 302-3480
✔ PECOS40 mi
Psychiatry
NPI 1992894448
701 MED TECH PKWY STE 201
Johnson City, TN 37604
(423) 302-3480
✔ PECOS✔ Accepts Medicare40 mi
Psychiatry
NPI 1669901435
438 E VANN RD STE 202
Greeneville, TN 37743
(423) 278-1856
✔ PECOS✔ Accepts Medicare60 mi
Psychiatry
NPI 1568104917
BUILDING 52 LAKE DRIVE
Mountain Home, TN 37684
(423) 439-8000
✔ PECOS399 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 49D0916568

Bhrhc Stpaul · Saint Paul, VA
Active · expires Jul 25, 2028
CLIA Number49D0916568
Laboratory TypeCommunity Clinic
Certificate Effective DateJuly 26, 2026
Certificate Expiration DateJuly 25, 2028
Laboratory DirectorThomas Renfro
Laboratory Phone(276) 762-2300
Laboratory LocationBhrhc Stpaul16431 Wise Street, Saint Paul, VA 24283
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 1386813616. It was assigned to this organization in the NPPES registry on February 20, 2008. The provider is doing business as Bhrhc St. Paul, Bhrhc St Paul and Msmg Fp St PA.

Where is Mountain States Health Alliance located?

Mountain States Health Alliance is located at 16431 Wise St, St Paul, VA 24283. The listed phone number is (276) 762-2300.

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.

Is Mountain States Health Alliance enrolled in Medicare?

Yes. Mountain States Health Alliance is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mountain States Health Alliance?

According to the CMS Revalidation Reassignment List (October 2026 release), 19 clinicians in 5 Medicare specialties reassign their Medicare billing to Mountain States Health Alliance. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Psychiatry (6), Internal Medicine (5) and Nurse Practitioner (5). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Mountain States Health Alliance hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D0916568) is associated with this NPI, valid through July 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mountain States Health Alliance accept?

Health plans from Cigna Healthcare list Mountain States Health Alliance as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mountain States Health Alliance was last updated on August 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.