| Russell County Psychiatric Unit | |
|
58 Carroll St Lebanon VA 24266-4510 | |
| (276) 883-8000 | |
| (276) 883-8250 |
| Full Name | Russell County Psychiatric Unit |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 58 Carroll St, Lebanon, Virginia |
| Authorized Official Name and Position | Mary Lynn Krutak (EVP/CFO) |
| Authorized Official Contact | 4233023423 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Russell County Psychiatric Unit 311 Princeton Rd Ste 1 Johnson City TN 37601-2026 Ph: (276) 883-8000 | Russell County Psychiatric Unit 58 Carroll St Lebanon VA 24266-4510 Ph: (276) 883-8000 |
| NPI Number | 1568649697 |
|---|---|
| Provider Enumeration Date | 01/31/2008 |
| Last Update Date | 03/29/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568649697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | H1892 (Virginia) | Primary |
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