OrganizationActive
Mountain States Health Alliance
NPI 1568649697 · Psychiatric Hospital Unit · Lebanon, VA
Provider details
- NPI number
- 1568649697
- Entity type
- Organization
- Primary specialty
- Psychiatric Hospital UnitHospital Units
- Organization subpart
- No
- Authorized official
- Mary Krutak, Evp/Cfo(423) 302-3423
- License
- H1892 (VA)
Specialties & taxonomies
Hospital Units
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
58 Carroll St
Lebanon, VA 24266-4510
Phone: (276) 883-8000
Fax: (276) 883-8250
Street-level locationGet directions
Mailing address
311 Princeton Rd Ste 1
Johnson City, TN 37601-2026
Other names (DBA / former)
- Doing business as
- Russell County Psychiatric Unit
Registry dates
- Enumerated
- 2008-01-31
- Last updated
- 2018-03-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.