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

Mountain States Health Alliance

Organization Wound Care Registered Nurse · NPI 1811704448

Mountain States Health Alliance is a Wound Care Registered Nurse in Pennington Gap, Virginia. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2

Practice location Address checks out

127 Health Care Dr
Pennington Gap, VA 24277-2853
Phone: (276) 546-6492
Fax: (276) 546-6959
Show map & directions

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

Specialties & licences

Wound Care Registered Nurse (primary) Taxonomy 163WW0000X
Internal Medicine Physician Taxonomy 207R00000X

Record details

NPI number1811704448
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Juanita Harwood — Director · (423) 302-6565
Other names Bhma Wound Care Lcch
NPI enumeratedDecember 17, 2024
Last updated in NPPESDecember 17, 2024
Certification dateDecember 17, 2024
Mailing address1021 W Oakland Ave Ste 310, Johnson City, TN 37604-2192