CARILION HEALTHCARE CORPORATION (NPI# 1205451119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205451119 |
| Entity Type | Organization |
| Organization Name | CARILION HEALTHCARE CORPORATION |
| Practice Address |
282 Westlake Rd Hardy VA 24101-3967 |
| Mailing Address |
213 S Jefferson St Ste 625 Roanoke VA 24011-1713 |
| Practice Telephone | 5407212689 |
| Mailing Telephone | 5402245677 |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2020-06-16 |
| Authorized Official Name | REBECCA M HUNTER (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 5402245715 |
| Is Organization Subpart | Y |
| Parent Organization Name | CARILION HEALTHCARE CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Carilion Clinic Internal Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760008387 | Carilion Healthcare Corporation | Clinic/Center | 22890 Virgil H Goode Highway, Boones Mill, VA 24065 | 2020-06-19 |
| 1447206370 | Carilion Healthcare Corporation | Clinic/Center | 213 S Jefferson St, Suite 416, Roanoke, VA 24011-1705 | 2006-05-25 |
| 1093331621 | Carilion Healthcare Corporation | Clinic/Center | 390 S Main St Ste 201, Rocky Mount, VA 24151-1767 | 2020-06-19 |
| 1316563968 | Carilion Healthcare Corporation | Clinic/Center | 2252 Magnolia Ave, Buena Vista, VA 24416-3122 | 2020-06-19 |
| 1972128866 | Carilion Healthcare Corporation | Clinic/Center | 911 E Main St, Floyd, VA 24091-4183 | 2020-06-16 |
| 1700401601 | Carilion Healthcare Corporation | Clinic/Center | 416 S Main St, Hillsville, VA 24343-1698 | 2020-06-16 |
| 1811512791 | Carilion Healthcare Corporation | Clinic/Center | 548 Blue Ridge Ave, Bedford, VA 24523-2604 | 2020-06-16 |
| 1568087476 | Carilion Healthcare Corporation | Clinic/Center | 1375 W Ridge Rd, Wytheville, VA 24382-5011 | 2020-06-16 |
| 1639794548 | Carilion Healthcare Corporation | Clinic/Center | 796 Old Franklin Tpke, Rocky Mount, VA 24151-5507 | 2020-06-16 |
| 1780209601 | Carilion Healthcare Corporation | Clinic/Center | 609 Church St, Clifton Forge, VA 24422-1740 | 2020-06-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CARILION HEALTHCARE CORPORATION | 213 S Jefferson St Ste 1600, Roanoke, VA 24011-1725 |
| Virginia Business Entities | CARILION HEALTHCARE CORPORATION | 213 S Jefferson St Ste 1600, Roanoke, Virginia 24011-1725 |
| Street Address |
282 WESTLAKE RD |
| City | HARDY |
| State | VA |
| Zip Code | 24101-3967 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134195662 | Virginia B Thelan | Internal Medicine | 282 Westlake Rd, Hardy, VA 24101-3967 | 2006-02-24 |
| 1689292724 | Carilion Giles Community Hospital | Clinic/Center | 282 Westlake Rd, Hardy, VA 24101-3967 | 2020-07-06 |
| 1932521598 | Lisa Wright | Nurse Practitioner | 282 Westlake Rd, Hardy, VA 24101-3967 | 2014-01-15 |
| 1598006181 | Kathryn Renee Mueller | Physician Assistant | 282 Westlake Rd, Hardy, VA 24101 | 2013-03-07 |
| 1407155914 | Michael Bedford Priest | Family Medicine | 282 Westlake Rd, Hardy, VA 24101-3967 | 2011-03-23 |
| 1013091065 | Mary Beth Horst | Nurse Practitioner | 282 Westlake Rd, Hardy, VA 24101-3967 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447761697 | Premier Transport LLC | Non-emergency Medical Transport (VAN) | 12787 B.t.w. Hwy, Suite 104 #245, Hardy, VA 24101 | 2017-10-16 |
| 1487198156 | Rose Leslie Sachs | Social Worker | 99 Penick Place, Hardy, VA 24101 | 2016-12-14 |
| 1154574820 | Smil Mountain Lake Retirement Village | Assisted Living Facility | 115 Retirement Dr, Hardy, VA 24101 | 2008-10-28 |
| 1710540612 | Margaret Carter | Physical Therapist | 12970 Booker T Washington Hwy, Hardy, VA 24101 | 2019-04-16 |
| 1285617241 | Bradley J Goad | Internal Medicine | 12787 Booker T Washington Hwy, Ste 104 Pmb 219, Hardy, VA 24101-0017 | 2005-11-23 |
| 1568093672 | Premier Geriatric Solutions Pllc | Internal Medicine | 12787 Booker T Washington Hwy, Suite 104 #219, Hardy, VA 24101-0017 | 2020-01-28 |
| 1366751711 | Margaret Westray Campbell | Speech-Language Pathologist | 49 Lakeshore Terrace Rd, Hardy, VA 24101-3501 | 2010-10-04 |
| 1962029827 | Benita Davis Bocanegra | Nurse Practitioner | 1424 Old Station Loop, Hardy, VA 24101-3600 | 2020-06-26 |
| 1104976000 | Bonnie Gail Lemberg | Radiology | 1240 Commonwealth Dr, Hardy, VA 24101-3785 | 2007-01-11 |
| 1194797936 | William F Ball | Family Medicine | 13423 Booker T Washington Hwy, Hardy, VA 24101-3943 | 2006-02-06 |
| Find all providers in zip 24101 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689292724 | Carilion Giles Community Hospital | Clinic/Center | 282 Westlake Rd, Hardy, VA 24101-3967 | 2020-07-06 |
| 1285183962 | Bradley Bibb, Md Pllc | Clinic/Center | 101 W Main St, Hardy, AR 72542 | 2016-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134735905 | Bay Medical & Wellness, LLC | Clinic/Center | 13794 Tidewater Trl, Saluda, VA 23149-2314 | 2020-09-17 |
| 1154948271 | Carilion Giles Community Hospital | Clinic/Center | 22890 Virgil Goode Hwy., Boones Mill, VA 24065 | 2020-07-06 |
| 1760008387 | Carilion Healthcare Corporation | Clinic/Center | 22890 Virgil H Goode Highway, Boones Mill, VA 24065 | 2020-06-19 |
| 1457840183 | Warren Memorial Hospital, Inc. | Clinic/Center | 315 W 10th St Ste 1, Front Royal, VA 22630-2812 | 2018-05-08 |
| 1154857019 | Bath County Community Hospital | Clinic/Center | 713 S Monroe Ave, Covington, VA 24426-1832 | 2017-05-11 |
| 1891154019 | Appalachian Regional Healthcare, Inc. | Clinic/Center | 121 Stacy Dr, Pennington Gap, VA 24277-1929 | 2016-02-16 |
| 1366791972 | Free Clinic of Franklin County | Clinic/Center | 1171 Franklin Street, Rocky Mount, VA 24151 | 2012-08-29 |
| 1487818902 | St. Mary's Health Wagon | Clinic/Center | 233 Chase St., Clintwood, VA 24228 | 2008-07-14 |
| 1609054733 | Mountain States Health Alliance | Clinic/Center | 16431 Wise Street, Saint Paul, VA 24283-3537 | 2008-01-31 |
| 1013199322 | Page Memorial Hospital, Inc. | Clinic/Center | 505 Williams Ave, Shenandoah, VA 22849-1263 | 2007-11-28 |
| Find all providers with the same taxonomy | ||||
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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.