Mountain States Health Alliance

NPI #1669902243 in Clintwood, Virginia

Provider Information

NPI Number
1669902243
Entity Type
Organization
Organization Name
Mountain States Health Alliance
Primary Specialty
Hospice Care, Community Based
Enumeration Date
Jun 15, 2017
Last Updated
Feb 19, 2019

Practice Location

Address
312 HOSPITAL DR SUITE 1B
ZIP Code
24228
Phone
(276) 926-6600

Authorized Official

Name
MARY LYNN KRUTAK
Title
EVP/CFO
Phone
(423) 302-3423

Specialties & Taxonomy Codes

Specialty
Hospice Care, Community Based

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