Organization
MOUNTAIN STATES HEALTH ALLIANCE
Active
Other names
DBA Russell County Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
C STEVEN KILGORE VI (PRESIDENT)
(423) 915-5185
Entity
Organization
Contact information
Practice address
58 CARROLL STREET, LEBANON, VA 24266
(276) 883-8471
(276) 883-8475
Mailing address
PO BOX 3600, LEBANON, VA 24266-0200
(276) 883-8471
(276) 883-8475
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
02/20/2008
Last updated
03/04/2008
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