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Mountain States Health Alliance

Emergency Medicine Physician in Lebanon, VA · enumerated 2008 · authorized official Mary Krutak, Evp/Cfo.

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

National Provider Identifier

1871761726

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Registry record

Entity type Organization (Type 2)
Legal business name Mountain States Health Alliance
Practice address 58 Carroll Street, Lebanon, VA, 24266
Phone (276) 883-8000
Fax (276) 883-8250
Enumeration date Feb 13, 2008
Last updated in NPPES Mar 14, 2018

Taxonomy & classification

207P00000X Emergency Medicine Physician Allopathic & Osteopathic Physicians · License H1892 (VA) Primary

Authorized official

Name Mary Krutak
Title Evp/Cfo
Phone (423) 302-3423

Other identifiers

Identifier Type State Issuer
1922003730 Medicaid VA -

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 1871761726, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Mountain States Health Alliance?
NPPES lists Mary Krutak (Evp/Cfo) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-03-14.