Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mountain States Health Alliance

Organization Anesthesiology Physician · NPI 1073782900

Mountain States Health Alliance provides Anesthesiology Physician services 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 Not confirmed with CMS for 18 years — call before visiting
Phone: (276) 883-8000
Show map & directions

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

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence H1892 (VA)

Record details

NPI number1073782900
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marvin Eichorn — Senior Vice President And Cfo · (423) 431-1017
Other names Russell County Medical Center Anesthesiology Department
NPI enumeratedFebruary 25, 2008
Last updated in NPPESFebruary 25, 2008
Mailing address58 Carroll Street, Lebanon, VA 24266-4510

Other providers in Lebanon