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

Mountain States Health Alliance

Organization Psychiatry Physician · NPI 1700054095

Mountain States Health Alliance is a Psychiatry Physician in Lebanon, Virginia. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address checks out

58 Carroll Steet
Lebanon, VA 24266
Phone: (276) 883-8471
Fax: (276) 883-8475
Show map & directions

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

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1700054095
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official C Kilgore — Vice President · (439) 915-5185
Other names Dba Russell County Medical Center
NPI enumeratedFebruary 20, 2008
Last updated in NPPESFebruary 20, 2008
Mailing addressPo Box 3600, Lebanon, VA 24266-0200

Other providers in Lebanon