| Mountain States Health Alliance | |
|
127 Health Care Dr Pennington Gap VA 24277-2853 | |
| (276) 546-6492 | |
| (276) 546-6959 |
| Full Name | Mountain States Health Alliance |
|---|---|
| Speciality | Registered Nurse - Wound Care |
| Location | 127 Health Care Dr, Pennington Gap, Virginia |
| Authorized Official Name and Position | Juanita L Harwood (DIRECTOR) |
| Authorized Official Contact | 4233026565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain States Health Alliance 1021 W Oakland Ave Ste 310 Johnson City TN 37604-2192 Ph: (423) 302-6565 | Mountain States Health Alliance 127 Health Care Dr Pennington Gap VA 24277-2853 Ph: (276) 546-6492 |
| NPI Number | 1811704448 |
|---|---|
| Provider Enumeration Date | 12/17/2024 |
| Last Update Date | 12/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811704448 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 163WW0000X | Registered Nurse - Wound Care | (* (Not Available)) | Primary |
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