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

Mountain States Health Alliance

Organization Emergency Medicine Physician · NPI 1871761726

Mountain States Health Alliance is an Emergency Medicine Physician 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

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence H1892 (VA)

Record details

NPI number1871761726
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Krutak — Evp/Cfo · (423) 302-3423
NPI enumeratedFebruary 13, 2008
Last updated in NPPESMarch 14, 2018
Mailing address311 Princeton Rd Ste 1, Johnson City, TN 37601-2026

Other providers in Lebanon