Mountain States Health Alliance
NPI 1245781954 · Rural Health Clinic/Center · Lebanon, VA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mountain States Health Alliance is a Rural Health Clinic/Center organization in Lebanon, VA (NPI 1245781954).
Provider details
- NPI number
- 1245781954
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Carl Kilgore, President(423) 915-5185
Specialties & taxonomies
Ambulatory Health Care Facilities
- Community/Behavioral Health Agency251S00000X
Agencies
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Msmg Lebanon Family Practice
- Doing business as
- Msmg Rural Health Cliinic Lebanon
Additional practice locations (2)
- 71 S Flannagan AveLebanon, VA 24266Phone: (276) 883-8042Fax: (276) 883-8044
- 58 Carroll St Suite 3Dept of Russell County Medical CenterLebanon, VA 24266Phone: (276) 883-8340Fax: (276) 883-8341
Registry dates
- Enumerated
- 2016-10-18
- Last updated
- 2026-03-30
- Certified
- 2026-03-30
Frequently asked questions
- What is Mountain States Health Alliance's NPI number?
- Mountain States Health Alliance's National Provider Identifier (NPI) is 1245781954, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mountain States Health Alliance?
- Mountain States Health Alliance is classified in the NPPES registry as Rural Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Mountain States Health Alliance located?
- Mountain States Health Alliance's practice location on file with NPPES is 344 Overlook Dr Ste 100, Lebanon, VA 24266-3436.
- What is Mountain States Health Alliance's phone number?
- The practice phone number listed in the NPPES registry for Mountain States Health Alliance is (276) 883-8042.
- Does Mountain States Health Alliance accept Medicare?
- Mountain States Health Alliance is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mountain States Health Alliance?
- The authorized official listed on Mountain States Health Alliance's NPPES record is Carl Kilgore, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mountain States Health Alliance's NPI active?
- Yes — Mountain States Health Alliance's NPI (1245781954) is active in the NPPES registry as of the last update on 2026-03-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.