Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mountain States Health Alliance

Organization Family Medicine Physician · NPI 1245781954

Mountain States Health Alliance is a Family Medicine Physician in Lebanon, Virginia. Works from 3 locations. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
3

Practice location Address checks out

344 Overlook Dr Ste 100
Lebanon, VA 24266-3436
Phone: (276) 883-8042
Fax: (276) 883-8044
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 71 S Flannagan Ave, Lebanon, VA 24266 — (276) 883-8042
  • 58 Carroll St Suite 3, Lebanon, VA 24266 — (276) 883-8340

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X
Family Medicine Physician Taxonomy 207Q00000X
Community/Behavioral Health Agency Taxonomy 251S00000X

Record details

NPI number1245781954
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carl Kilgore — President · (423) 915-5185
Other names Msmg Lebanon Family Practice; Msmg Rural Health Cliinic Lebanon
NPI enumeratedOctober 18, 2016
Last updated in NPPESMarch 30, 2026
Certification dateMarch 30, 2026
Mailing address58 Carroll St Suite 3, Dept Of Russell County Medical Center, Lebanon, VA 24266

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