Organization
MOUNTAIN STATES HEALTH ALLIANCE
Active
Other names
Russell County Hospital Rehabilitation- St. Paul
Organization subpart
No
Provider details
NPI number
Authorized official
MARY LYNN KRUTAK (EVP/CFO)
(423) 302-3423
Entity
Organization
Contact information
Practice address
16431 WISE STREET, SAINT PAUL, VA 24283
(276) 762-2300
(276) 762-0612
Mailing address
311 PRINCETON RD STE 1, JOHNSON CITY, TN 37601-2026
(276) 762-2300
(276) 762-0612
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
VA
Other
Enumeration date
06/02/2015
Last updated
02/04/2019
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