Organization · Type 2 NPI

Mountain States Health Alliance

Rural Health Clinic/Center · St. Paul, VA

NPI number 1386813616 Active

Practice location

16431 Wise St
St. Paul, VA 24283

Call (276) 762-2300 Map

Fax (276) 762-0612

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	None listed
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

2 other providers at this address

Other rural health clinic/center providers in St. Paul

Russell County Medical Center, IncRural Health Clinic/Center St. Paul, VA NPI 1184692600
Mountain States Health AllianceRural Health Clinic/Center St. Paul, VA NPI 1609054733

See all in St. Paul →

NPI record

NPI: 1386813616
Entity type: Organization (Type 2)
Issued: Feb 20, 2008
Last updated: Aug 12, 2024
Status: Active

Other names

<unavail>
Bhrhc ST Paul · doing business as
Bhrhc St. Paul · doing business as
MSMG FP ST PA · doing business as

Authorized official

Juanita Harwood
Director
(423) 392-6565

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1386813616

Mountain States Health Alliance's National Provider Identifier is 1386813616, issued on Feb 20, 2008. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in St. Paul, VA. The record was last updated on Aug 12, 2024.