NPI 1205488996

Mountain States Health Alliance

Organisation Critical Access Hospital Pennington Gap, VA

Practice location

Address: 127 Health Care Dr, Pennington Gap, VA 24277-2853
Phone: (276) 299-5000
Fax: (276) 546-6953
Mailing address: 311 Princeton Rd STE 1, Johnson City, TN 37601-2026

Authorised official

Name: Shane Edwin Hilton
Title: Evp/Cfo
Phone: (423) 302-3467

Registered specialties

Critical Access Hospital Primary

Hospitals Taxonomy 282NC0060X

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Registry record

NPI: 1205488996
Entity type: Organization
NPI issued: 12 Jul 2019
Record last updated: 16 Apr 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.