CARILION HEALTHCARE CORPORATION (NPI# 1568087476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568087476 |
| Entity Type | Organization |
| Organization Name | CARILION HEALTHCARE CORPORATION |
| Practice Address |
1375 W Ridge Rd Wytheville VA 24382-5011 |
| Mailing Address |
213 S Jefferson St Ste 625 Roanoke VA 24011-1713 |
| Practice Telephone | 2762288686 |
| 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 Family 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 |
| 1205451119 | Carilion Healthcare Corporation | Clinic/Center | 282 Westlake Rd, Hardy, VA 24101-3967 | 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 |
| 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 |
1375 W RIDGE RD |
| City | WYTHEVILLE |
| State | VA |
| Zip Code | 24382-5011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770563496 | Kari L Thomas | Family Medicine | 1375 W Ridge Rd, Wytheville, VA 24382-5011 | 2006-01-19 |
| 1699393736 | Carilion Giles Community Hospital | Clinic/Center | 1375 W Ridge Rd, Wytheville, VA 24382-5011 | 2020-07-06 |
| 1487299400 | Derrick Lee Barr | Physician Assistant | 1375 W Ridge Rd, Wytheville, VA 24382-5011 | 2019-11-13 |
| 1063921625 | Cassie Ann Sheffey | Nurse Practitioner | 1375 W Ridge Rd, Wytheville, VA 24382-5011 | 2017-09-27 |
| 1407276611 | Gabriel Mosier | Family Medicine | 1375 W Ridge Rd, Wytheville, VA 24382-5011 | 2014-04-27 |
| 1235564212 | Rebecca Anne Biersbach | Nurse Practitioner | 1375 W Ridge Rd, Wytheville, VA 24382-5011 | 2013-09-09 |
| 1457322604 | James B Stone IIi | Family Medicine | 1375 W Ridge Rd, Wytheville, VA 24382-5011 | 2006-01-27 |
| 1790765402 | William M Tomiak | Family Medicine | 1375 W Ridge Rd, Wytheville, VA 24382-5011 | 2006-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538709118 | Pt Solutions LLC | Physical Therapist | 1050 Holston Road, Wytheville, VA 24382 | 2020-01-10 |
| 1881233377 | Amie S Newberry | Physical Therapist | 1050 Holston Rd, Wytheville, VA 24382 | 2019-12-31 |
| 1174160618 | Erin Leigh Dejesus | Family Medicine | 375 W Ridge Rd, Wytheville, VA 24382 | 2019-12-03 |
| 1629639497 | Family Preservatrion Services, Inc. | Community/Behavioral Health | 425 Grayson Presbyterian Road, Wytheville, VA 24382 | 2019-06-24 |
| 1023527926 | Emily Kingrey | Occupational Therapist | 800 E Main St., Suite 310, Wytheville, VA 24382 | 2017-09-22 |
| 1184149247 | Linda Huber | Driver | 610 E Washington St, Wytheville, VA 24382 | 2017-08-10 |
| 1578987558 | Family Preservation Services, Inc | Community/Behavioral Health | 695 East Marshall Street, Wytheville, VA 24382 | 2014-02-11 |
| 1255774121 | Forest Pharmacy Inc | Pharmacy | 1787 W Lee Highway, Suite B, Wytheville, VA 24382 | 2013-04-10 |
| 1447500400 | Guardian Pharmacy of Virginia LLC | Pharmacy | 860 Stafford Umberger Dr, Wytheville, VA 24382 | 2012-09-17 |
| 1669604385 | Catherine Elizabeth Russell | Physical Therapist | 710 West Ridge Rd, Suites E & F, Wytheville, VA 24382 | 2009-08-13 |
| Find all providers in zip 24382 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699393736 | Carilion Giles Community Hospital | Clinic/Center | 1375 W Ridge Rd, Wytheville, VA 24382-5011 | 2020-07-06 |
| 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 | ||||
| City | WYTHEVILLE |
| Zip Code | 24382 |
Please comment or provide details below to improve the information on CARILION HEALTHCARE CORPORATION.
| 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.