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Mountain States Health Alliance

Diagnostic Radiology Physician in Lebanon, VA · enumerated 2010 · authorized official Eddie Greene, Avp/Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104158054

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Registry record

Entity type Organization (Type 2)
Legal business name Mountain States Health Alliance
Other name <Unavail>
Practice address 58 Carroll St, Lebanon, VA, 24266
Fax (276) 889-4336
Enumeration date Feb 3, 2010
Last updated in NPPES Apr 16, 2026

Taxonomy & classification

2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Eddie Greene
Title Avp/Administrator

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Mountain States Health Alliance?
The NPI for Mountain States Health Alliance is 1104158054, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Mountain States Health Alliance?
NPPES lists Eddie Greene (Avp/Administrator) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-04-16.