OrganizationActive
Mountain States Health Alliance
NPI 1619357928 · General Acute Care Hospital · Lebanon, VA
Mountain States Health Alliance is a General Acute Care Hospital organization in Lebanon, VA (NPI 1619357928).
Provider details
- NPI number
- 1619357928
- Entity type
- Organization
- Primary specialty
- General Acute Care HospitalHospitals
- Organization subpart
- No
- Authorized official
- Mary Krutak, Evp/Cfo(423) 302-3423
- License
- H 1892 (VA)
Specialties & taxonomies
Hospitals
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
111 S Flannagan Avenue
Lebanon, VA 24266-4515
Phone: (276) 883-8095
Fax: (276) 883-8097
Approximate (ZIP-level) locationGet directions
Mailing address
311 Princeton Rd Ste 1
Johnson City, TN 37601-2026
Other names (DBA / former)
- Doing business as
- Mountain States Rehabilitation at Rcmc
Registry dates
- Enumerated
- 2015-06-02
- Last updated
- 2018-03-29
Frequently asked questions
- What is Mountain States Health Alliance's NPI number?
- Mountain States Health Alliance's National Provider Identifier (NPI) is 1619357928, 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 General Acute Care Hospital (Hospitals).
- Where is Mountain States Health Alliance located?
- Mountain States Health Alliance's practice location on file with NPPES is 111 S Flannagan Avenue, Lebanon, VA 24266-4515.
- 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) 883-8095.
- Who is the authorized official for Mountain States Health Alliance?
- The authorized official listed on Mountain States Health Alliance's NPPES record is Mary Krutak, Evp/Cfo. 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 (1619357928) is active in the NPPES registry as of the last update on 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.