| Mountain States Health Alliance | |
|
344 Overlook Dr Ste 100 Lebanon VA 24266-3436 | |
| (276) 883-8042 | |
| (276) 883-8044 |
| Full Name | Mountain States Health Alliance |
|---|---|
| Speciality | Clinic/Center |
| Location | 344 Overlook Dr Ste 100, Lebanon, Virginia |
| Authorized Official Name and Position | Shane Edwin Hilton (EVP/CFO) |
| Authorized Official Contact | 4233023467 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain States Health Alliance 311 Princeton Rd Ste 1 Johnson City TN 37601-2026 Ph: (276) 883-8042 | Mountain States Health Alliance 344 Overlook Dr Ste 100 Lebanon VA 24266-3436 Ph: (276) 883-8042 |
| NPI Number | 1245772664 |
|---|---|
| Provider Enumeration Date | 11/16/2016 |
| Last Update Date | 04/16/2024 |
| Medicare PECOS PAC ID | 6002726718 |
|---|---|
| Medicare Enrollment ID | O20170810000781 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245772664 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Family Health Care Associates Of Swva.,pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 143 W Main St, Lebanon, VA 24266 Phone: 276-889-2394 Fax: 276-889-4716 | |
Blue Ridge Medical Managment Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 58 Carroll St, Room 2037, Lebanon, VA 24266 Phone: 276-883-8062 Fax: 276-883-8064 | |
C-health Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 495 East Main Street, Lebanon, VA 24266 Phone: 276-889-3700 Fax: 276-889-5505 | |
Merit Medical Rhc Lebanon Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 360 West Main Street, Lebanon, VA 24266 Phone: 276-889-0035 Fax: 276-889-2044 | |
Mountain States Health Alliance Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 58 Carroll St Suite 3, Dept Of Russell County Medical Center, Lebanon, VA 24266 Phone: 276-883-8340 Fax: 276-883-8341 | |
Wellmont Medical Associates, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 344 Overlook Dr, Lebanon, VA 24266 Phone: 276-883-5900 Fax: 276-883-5899 |