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MOUNTAIN STATES HEALTH ALLIANCE
NPI 1871761726
Emergency Medicine in Lebanon, VA

Active since February 13, 2008
58 CARROLL STREET, LEBANON, VA 24266(276) 883-8000(276) 883-8250 Get Directions Write a Review

NPPES record last updated: March 14, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 14, 2018, Jun 27, 2017 (2 updates tracked since 2017).

About Mountain States Health Alliance NPPES

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

MOUNTAIN STATES HEALTH ALLIANCE (NPI 1871761726) is a healthcare organization registered as an emergency medicine in Lebanon, Virginia and active in the NPI registry since February 2008. The organization lists Mary Lynn Krutak, Evp/cfo, as its authorized official.

NPPES Registry Identity

NPI1871761726
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameMOUNTAIN STATES HEALTH ALLIANCE
Location Address58 CARROLL STREETLebanon, VA 24266-4510
Mailing Address311 Princeton Rd Ste 1Johnson City, TN 37601-2026 · (276) 883-8000 · Fax (276) 883-8250
Phone(276) 883-8000
Fax(276) 883-8250
Organization SubpartNo
Authorized OfficialMary Lynn KrutakEvp/cfo · (423) 302-3423
Enumeration DateFebruary 13, 2008
Last NPPES UpdateMarch 14, 20182 updates tracked since enumeration
✔ NPI 1871761726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in VA · H1892
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
58 CARROLL STREET, Lebanon, VA 24266
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Other Identifiers 1

Medicaid1922003730VA

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

Other Providers at the Same Location NPPES 17

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

MRS. SUSAN GAIL FIELDS NP-C
Family Medicine
58 CARROLL STREET
LEBANON, VA 24266
Russell County (276) 883-8000
MOUNTAIN STATES HEALTH ALLIANCE
Anesthesiology
58 CARROLL STREET
LEBANON, VA 24266
Russell County (276) 883-8000
AMANDA ELIZABETH HORNER
Nurse Practitioner (Psychiatric/Mental Health)
58 CARROLL STREET
LEBANON, VA 24266
Russell County (276) 883-8000
RUSSELL COUNTY CLINIC CORP
Surgery
58 CARROLL STREET
LEBANON, VA 24266
Russell County (276) 883-8470
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Surgery
58 CARROLL STREET, STE 2
LEBANON, VA 24266
Russell County (276) 883-8085
DR. PAUL ARTHUR PHILLIPS D.O.
Emergency Medicine
58 CARROLL STREET
LEBANON, VA 24266
Russell County (276) 883-8000
MRS. ASHLEY JANE JENKINS FNP
Nurse Practitioner (Family)
58 CARROLL STREET, SUITE 4
LEBANON, VA 24266
Russell County (276) 883-8070
KELSEY WISE MCCOY PA
Physician Assistant (Medical)
58 CARROLL STREET
LEBANON, VA 24266
Russell County (276) 883-8000

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 1871761726. It was assigned to this organization in the NPPES registry on February 13, 2008.

Where is Mountain States Health Alliance located?

Mountain States Health Alliance is located at 58 Carroll Street, Lebanon, VA 24266. The listed phone number is (276) 883-8000.

What is Mountain States Health Alliance's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Mountain States Health Alliance was last updated on March 14, 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.