CARILION STONEWALL JACKSON HOSPITAL (NPI# 1780202648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780202648 |
| Entity Type | Organization |
| Organization Name | CARILION STONEWALL JACKSON HOSPITAL |
| Practice Address |
609 Church St Clifton Forge VA 24422-1740 |
| Mailing Address |
213 S Jefferson St Ste 625 Roanoke VA 24011-1713 |
| Practice Telephone | 5408628860 |
| Mailing Telephone | 5402245677 |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2020-07-08 |
| Authorized Official Name | REBECCA M HUNTER (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 5402245715 |
| Is Organization Subpart | Y |
| Parent Organization Name | CARILION STONEWALL JACKSON HOSPITAL |
| 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 |
|---|---|---|---|---|
| 1003809179 | Carilion Stonewall Jackson Hospital | Home Health | 1 Health Cir, Lexington, VA 24450-2448 | 2005-08-24 |
| 1134747090 | Carilion Stonewall Jackson Hospital | Clinic/Center | 2252 Magnolia Ave, Buena Vista, VA 24416-3122 | 2020-07-08 |
| 1952929812 | Carilion Stonewall Jackson Hospital | Clinic/Center | 548 Blue Ridge Ave, Bedford, VA 24523-2604 | 2020-07-08 |
| 1144848003 | Carilion Stonewall Jackson Hospital | Clinic/Center | 18080 Main St, Buchanan, VA 24066-5482 | 2020-07-08 |
| 1023663002 | Carilion Stonewall Jackson Hospital | Internal Medicine | 1 Health Cir, Lexington, VA 24450-2448 | 2019-08-06 |
| 1750936977 | Carilion Stonewall Jackson Hospital | Clinic/Center | 1 Health Cir, Lexington, VA 24450-2448 | 2019-08-05 |
| 1942854427 | Carilion Stonewall Jackson Hospital | Family Medicine | 1 Health Cir, Lexington, VA 24450-2448 | 2019-08-01 |
| 1356994651 | Carilion Stonewall Jackson Hospital | Durable Medical Equipment & Medical Supplies | 1 Health Cir, Lexington, VA 24450-2448 | 2019-07-17 |
| 1780076265 | Carilion Stonewall Jackson Hospital | Clinic/Center | 108 Houston St, Suite A, Lexington, VA 24450-2455 | 2015-02-20 |
| 1831589480 | Carilion Stonewall Jackson Hospital | Clinic/Center | 146 S Main St Ste 3, Lexington, VA 24450-2356 | 2015-02-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Carilion Stonewall Jackson Hospital | Carilion Stonewall Jackson Hospital, 1 Health Circle, Lexington, Virginia 24450 |
| Street Address |
609 CHURCH ST |
| City | CLIFTON FORGE |
| State | VA |
| Zip Code | 24422-1740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801876750 | Ronald Steven Goings | Family Medicine | 609 Church St, Clifton Forge, VA 24422-1740 | 2006-01-18 |
| 1780209601 | Carilion Healthcare Corporation | Clinic/Center | 609 Church St, Clifton Forge, VA 24422-1740 | 2020-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962800532 | Americare Plus, LLC. | In Home Supportive Care | 416 East Ridgeway Street, Clifton Forge, VA 24422 | 2014-12-15 |
| 1154524486 | Clay Sisson Morris Sr. | Dentist | 424 Commercial Avenue, Clifton Forge, VA 24422 | 2007-06-06 |
| 1134343858 | Larry Richard Denius I | Family Medicine | 4791 Nicelytown Rd., Suite 1, Clifton Forge, VA 24422 | 2007-04-12 |
| 1437147808 | Rescue Squad of Clifton Forge Va., Inc | Ambulance | 522 Commercial Ave., Clifton Forge, VA 24422 | 2005-10-11 |
| 1083065866 | Joyce Moberg Liana | Physical Therapist | 1000 Fairview Avenue, The Woodlands Health & Rehab Ctr., Clifton Forge, VA 24422 | 2016-06-23 |
| 1134222342 | Michelle Pearl Menefee-dunn | Speech-Language Pathologist | 601 Main St, Clifton Forge, VA 24422 | 2006-09-06 |
| 1053391698 | David E Crandall | Internal Medicine | 901 Mccormick Blvd, Clifton Forge, VA 24422-1037 | 2006-01-19 |
| 1699069799 | Jennifer Lynn Hughes | Physical Therapy Assistant | 305 Revere St, Clifton Forge, VA 24422-1048 | 2011-06-06 |
| 1326019282 | Scott Eric Turkewitz | Dentist | 316 Commercial Ave, Clifton Forge, VA 24422-1117 | 2006-01-30 |
| 1477532984 | Farrar's Inc | Hospice Care, Community Based | 537 Main St, Clifton Forge, VA 24422-1177 | 2006-01-12 |
| Find all providers in zip 24422 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780209601 | Carilion Healthcare Corporation | Clinic/Center | 609 Church St, Clifton Forge, VA 24422-1740 | 2020-06-16 |
| 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 | CLIFTON FORGE |
| Zip Code | 24422 |
Please comment or provide details below to improve the information on CARILION STONEWALL JACKSON HOSPITAL.
| 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.