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

Mountain States Health Alliance

Organization Psychiatry Physician · NPI 1700054095

Mountain States Health Alliance provides Psychiatry Physician services in Lebanon, Virginia. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address checks out

58 Carroll Steet
Lebanon, VA 24266 Not confirmed with CMS for 18 years — call before visiting
Phone: (276) 883-8471
Fax: (276) 883-8475
Show map & directions

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

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1700054095
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official C Kilgore — Vice President · (439) 915-5185
Other names Dba Russell County Medical Center
NPI enumeratedFebruary 20, 2008
Last updated in NPPESFebruary 20, 2008
Mailing addressPo Box 3600, Lebanon, VA 24266-0200

Other providers in Lebanon