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

Mountain States Health Alliance

Organization Psychiatric Hospital Unit · NPI 1568649697

Mountain States Health Alliance is a Psychiatric Hospital Unit in Lebanon, Virginia. Licensed in Virginia. Registered with an NPI since 2008.

Licensed in
VA
In the registry since
2008

Practice location Address checks out

58 Carroll St
Lebanon, VA 24266-4510
Phone: (276) 883-8000
Fax: (276) 883-8250
Show map & directions

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

Specialties & licences

Psychiatric Hospital Unit (primary) Taxonomy 273R00000X · Licence H1892 (VA)

Record details

NPI number1568649697
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Krutak — Evp/Cfo · (423) 302-3423
Other names Russell County Psychiatric Unit
NPI enumeratedJanuary 31, 2008
Last updated in NPPESMarch 29, 2018
Mailing address311 Princeton Rd Ste 1, Johnson City, TN 37601-2026

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