Organization · Type 2 NPI
Mountain States Health Alliance
Community Based Hospice Care Agency · Clintwood, VA
NPI number
1669902243
Active
Practice location
312 Hospital Dr Suite 1B
Clintwood, VA 24228
Fax (276) 926-6783
Mailing address
311 Princeton Rd Ste 1
Johnson City, TN 37601-2026
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | None listed |
| Community Based Hospice Care Agency Primary | 251G00000X | None listed |
Community Based Hospice Care Agency: Definition to come...
Other community based hospice care agency providers in Clintwood
About NPI 1669902243
Mountain States Health Alliance's National Provider Identifier is 1669902243, issued on Jun 15, 2017. The primary taxonomy on file is Community Based Hospice Care Agency (251G00000X), and the practice location is in Clintwood, VA. The record was last updated on Feb 19, 2019.