CARILION MEDICAL CENTER (NPI# 1033102942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033102942 |
| Entity Type | Organization |
| Organization Name | CARILION MEDICAL CENTER |
| Other Organization Name | CARILION ROANOKE MEMORIAL HOSPITAL |
| Practice Address |
1906 Belleview Ave Se Roanoke VA 24014-1838 |
| Mailing Address |
213 S Jefferson St Suite 625 Roanoke VA 24011-1705 |
| Practice Telephone | 5409817000 |
| Mailing Telephone | 5409817000 |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2020-10-21 |
| Authorized Official Name | MRS. REBECCA M HUNTER (DIRECTOR, PROFESSIONAL BILLING) |
| Authorized Official Telephone | 5402245715 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | H1840 | VA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | SLH | 0000248 | 01 |
| VA | ANTHEM | 144411 | 01 |
| VA | WEST VIRGINIA MEDICAID | 0174559000 | 01 |
| VA | 4900243 | 05 | |
| VA | MAGELLAN | 101887000 | 01 |
| VA | SOUTHERN HEALTH | 143676 | 01 |
| VA | VA HOSPITAL | V246P-01224 | 01 |
| VA | BLACK LUNG | 032355700 | 01 |
| Other Name | Type Code |
|---|---|
| Carilion Roanoke Memorial Hospital | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780660233 | Carilion Medical Center | Rehabilitation Hospital | 101 Elm Ave Se Fl 7, Roanoke, VA 24013-2222 | 2005-12-16 |
| 1477546844 | Carilion Medical Center | Hospice Care, Community Based | 1917 Franklin Rd Sw, Suite B, Roanoke, VA 24014-1103 | 2005-08-31 |
| 1861017782 | Carilion Medical Center | Clinic/Center | 388 Ben Bolt Ave, Tazewell, VA 24651-5386 | 2020-06-16 |
| 1114399276 | Carilion Medical Center | Clinic/Center | 2017 Jefferson St Sw, Roanoke, VA 24014-2419 | 2015-10-28 |
| 1982908547 | Carilion Medical Center | Durable Medical Equipment & Medical Supplies | 3 Riverside Cir, Roanoke, VA 24016-4955 | 2010-12-22 |
| 1073835567 | Carilion Medical Center | Family Medicine | 213 S Jefferson St, Suite 625, Roanoke, VA 24011-1705 | 2010-02-24 |
| 1851621130 | Carilion Medical Center | Durable Medical Equipment & Medical Supplies | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2010-01-08 |
| 1649423815 | Carilion Medical Center | Family Medicine | 1906 Belleview Ave Se, Emergency Department, Roanoke, VA 24014-1838 | 2008-10-31 |
| 1730302126 | Carilion Medical Center | Early Intervention Provider Agency | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2007-04-11 |
| 1649493032 | Carilion Medical Center | Early Intervention Provider Agency | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2007-04-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CARILION MEDICAL CENTER | 2001 Crystal Spring, Roanoke, VA 24014-2462 |
| Virginia Business Entities | CARILION MEDICAL CENTER | 213 S Jefferson St Ste 1600, Roanoke, Virginia 24011-1725 |
| Street Address |
1906 BELLEVIEW AVE SE |
| City | ROANOKE |
| State | VA |
| Zip Code | 24014-1838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053315796 | Lee Ann Speed | Registered Nurse | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2005-06-10 |
| 1114526605 | Kimberly Ann Ramsey | Clinical Nurse Specialist | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2020-10-26 |
| 1578181285 | Sarah Lipps | Pharmacist | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2020-07-09 |
| 1124646831 | Shannon Victoria Brown | Pharmacist | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2020-07-09 |
| 1285252189 | Yang Zhao | Pharmacist | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2020-07-08 |
| 1932727831 | Jonathan Zalman | Pharmacist | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2020-07-08 |
| 1669090569 | Miranda Thomas | Pharmacist | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2020-07-08 |
| 1427676329 | Zachary Seth Stevenson | Pharmacist | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2020-07-08 |
| 1053939801 | Narmada Mannem | Student in an Organized Health Care Education/Training Program | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2020-07-08 |
| 1821616657 | Vanessa Pellegrino | Pharmacist | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2020-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558602 | Irene Pace Seidman | Pharmacist | 3350 Clearbrook Village Ln, Roanoke, VA 24014 | 2020-11-04 |
| 1720617970 | Mounica Reddy Thootkur | Student in an Organized Health Care Education/Training Program | 2017 South Jefferson Street, 2nd Floor, Roanoke, VA 24014 | 2020-04-08 |
| 1326675422 | Bharath Muppala | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 | 2020-03-26 |
| 1235629239 | Sanjeeb Sudarshan Bhandari | Student in an Organized Health Care Education/Training Program | 1906 Bellview Ave Se, Roanoke, VA 24014 | 2018-05-15 |
| 1104325778 | Vera J. Short | Registered Nurse | 3167 Huffman Ln, Roanoke, VA 24014 | 2018-02-08 |
| 1770001380 | Michael Alan Phillips I | Social Worker | 2017 Jefferson Street, Roanoke, VA 24014 | 2017-09-03 |
| 1306362884 | Sara Alicia Guasch | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 | 2017-08-16 |
| 1790212256 | Pouya Mafi | Student in an Organized Health Care Education/Training Program | 1906 Belleview Ave, Carilion Roanoke Memorial Hospital, Roanoke, VA 24014 | 2017-05-16 |
| 1790222867 | Mara Cate | Physician Assistant | 523 Arbuttus Ave, Roanoke, VA 24014 | 2017-01-26 |
| 1508314634 | Dknl Enterprises, Inc. | Non-emergency Medical Transport (VAN) | 3629 Franklin Rd Sw Suite 205b, Roanoke, VA 24014 | 2016-09-19 |
| Find all providers in zip 24014 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174690283 | Randolph Health Care Authority | General Acute Care Hospital | 59928 Highway 22, Roanoke, AL 36274-2410 | 2006-11-30 |
| 1194892257 | Randolph Health Systems, LLC | General Acute Care Hospital | 59928 Highway 22, Roanoke, AL 36274-2410 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538669445 | Virginia Hospital Center Arlington Health System | General Acute Care Hospital | 8100 Boone Blvd Ste 140, Vienna, VA 22182-2665 | 2018-02-16 |
| 1871020651 | Virginia Internal Medicine Specialists LLC | General Acute Care Hospital | 44790 Maynard Sq Ste 320, Ashburn, VA 20147-6514 | 2017-05-11 |
| 1730615816 | Sentara Healthcare | General Acute Care Hospital | 100 Ireland St, Hampton, VA 23663-2150 | 2017-05-10 |
| 1528592573 | New York Presbyterian Hospital-weill Cornell | General Acute Care Hospital | 9644 Sutton Green Ct, Vienna, VA 22181-6105 | 2017-04-17 |
| 1386181733 | Lyle Purnell | General Acute Care Hospital | 100 Emancipation Dr Bldg 146, Hampton, VA 23667-0001 | 2017-01-24 |
| 1700233855 | Debra Hafer | General Acute Care Hospital | 33290 Chincoteague Rd, Wallops Island, VA 23337-2204 | 2016-05-18 |
| 1093161374 | Mawussi Komi | General Acute Care Hospital | 6271 Drew Dr, Va Beach, VA 23464 | 2016-05-05 |
| 1700248796 | Hq Surgical | General Acute Care Hospital | 905 Hathaway Ct, Chesapeake, VA 23322-7622 | 2016-03-28 |
| 1710355649 | Johnston Memorial Hospital, Inc | General Acute Care Hospital | 3175 Linden Dr Ste 3-5, Bristol, VA 24202-5849 | 2015-09-09 |
| 1184092298 | Anita Sites | General Acute Care Hospital | Uva Transplant Center 1300 Jefferson Park Ave Fl 4, Charlottesville, VA 22908-3363 | 2015-09-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.