| Mountain States Health Alliance | |
|
16431 Wise St St Paul VA 24283 | |
| (276) 762-2300 | |
| (276) 762-0612 |
| Full Name | Mountain States Health Alliance |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 16431 Wise St, St Paul, Virginia |
| Authorized Official Name and Position | Juanita Harwood (DIRECTOR) |
| Authorized Official Contact | 4233926565 |
| 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) 302-6567 | Mountain States Health Alliance 16431 Wise St St Paul VA 24283 Ph: (276) 762-2300 |
| NPI Number | 1386813616 |
|---|---|
| Provider Enumeration Date | 02/20/2008 |
| Last Update Date | 08/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386813616 | NPI | - | NPPES |
| 020157701 | Other | VI | DEPARTMENT OF LABOR |
| 1386813616 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Russell County Medical Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Highway 58, 1 Riverside Drive, Riverside Shopping Center, St Paul, VA 24283 Phone: 276-762-2300 | |
St Charles Health Council Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1389 Dante Road, St Paul, VA 24283 Phone: 276-762-0770 Fax: 276-762-0678 |