MOUNTAIN STATES REHABILITATION AT RCMC
NPI 1619357928
General Acute Care Hospital in Lebanon, VA

Active since June 02, 2015
111 S FLANNAGAN AVENUE, LEBANON, VA 24266(276) 883-8095(276) 883-8097 Get Directions Write a Review

NPPES record last updated: March 29, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 29, 2018, Mar 16, 2018, Jul 21, 2017 and 1 more (4 updates tracked since 2016).

About Mountain States Rehabilitation At Rcmc NPPES

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

MOUNTAIN STATES REHABILITATION AT RCMC (NPI 1619357928) is a healthcare organization registered as a general acute care hospital in Lebanon, Virginia and active in the NPI registry since June 2015. The organization lists Mary Lynn Krutak, Evp/cfo, as its authorized official.

NPPES Registry Identity

NPI1619357928
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameMOUNTAIN STATES HEALTH ALLIANCE
Location Address111 S FLANNAGAN AVENUELebanon, VA 24266-4515
Mailing Address311 Princeton Rd Ste 1Johnson City, TN 37601-2026 · (276) 883-8095 · Fax (276) 883-8097
Fax(276) 883-8097
Organization SubpartNo
Authorized OfficialMary Lynn KrutakEvp/cfo · (423) 302-3423
Enumeration DateJune 2, 2015
Last NPPES UpdateMarch 29, 20184 updates tracked since enumeration
NPI 1619357928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
License Licensed in VA · H 1892
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
111 S FLANNAGAN AVENUE, Lebanon, VA 24266

Other Names 1

Doing Business AsMountain States Rehabilitation At Rcmc

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 1619357928. It was assigned to this organization in the NPPES registry on June 2, 2015. The provider is doing business as Mountain States Rehabilitation At Rcmc.

Where is Mountain States Health Alliance located?

Mountain States Health Alliance is located at 111 S Flannagan Avenue, Lebanon, VA 24266. The listed phone number is (276) 883-8095.

What is Mountain States Health Alliance's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

When was this NPI record last updated?

The NPPES record for Mountain States Health Alliance was last updated on March 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.