Mountain States Health Alliance
NPI #1205488996 in Pennington Gap, Virginia
Provider Information
- NPI Number
- 1205488996
- Entity Type
- Organization
- Organization Name
- Mountain States Health Alliance
- Primary Specialty
- General Acute Care Hospital - Critical Access
- Enumeration Date
- Jul 12, 2019
- Last Updated
- Apr 16, 2024
Practice Location
- Address
- 127 HEALTH CARE DR
- City
- Pennington Gap
- State
- Virginia
- ZIP Code
- 24277-2853
- Phone
- (276) 299-5000
Authorized Official
- Name
- SHANE EDWIN HILTON
- Title
- EVP/CFO
- Phone
- (423) 302-3467
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Acute Care Hospital - Critical Access — Critical Access |
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