OrganizationActive
Mountain States Health Alliance
NPI 1700054095 · Psychiatry Physician · Lebanon, VA
Mountain States Health Alliance is a Psychiatry Physician organization in Lebanon, VA (NPI 1700054095).
Provider details
- NPI number
- 1700054095
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- C Kilgore, Vice President(439) 915-5185
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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 Steet
Lebanon, VA 24266
Phone: (276) 883-8471
Fax: (276) 883-8475
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 3600
Lebanon, VA 24266-0200
Other names (DBA / former)
- Doing business as
- Dba Russell County Medical Center
Registry dates
- Enumerated
- 2008-02-20
- Last updated
- 2008-02-20
Frequently asked questions
- What is Mountain States Health Alliance's NPI number?
- Mountain States Health Alliance's National Provider Identifier (NPI) is 1700054095, 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 Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Mountain States Health Alliance located?
- Mountain States Health Alliance's practice location on file with NPPES is 58 Carroll Steet, Lebanon, VA 24266.
- 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) 883-8471.
- Who is the authorized official for Mountain States Health Alliance?
- The authorized official listed on Mountain States Health Alliance's NPPES record is C Kilgore, Vice 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 (1700054095) is active in the NPPES registry as of the last update on 2008-02-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.