CARILION HEALTHCARE CORPORATION (NPI# 1811512791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811512791 |
Entity Type | Organization |
Organization Name | CARILION HEALTHCARE CORPORATION |
Practice Address |
548 Blue Ridge Ave Bedford VA 24523-2604 |
Mailing Address |
213 S Jefferson St Ste 625 Roanoke VA 24011-1713 |
Practice Telephone | 5405864723 |
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 |
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 |
548 BLUE RIDGE AVE |
City | BEDFORD |
State | VA |
Zip Code | 24523-2604 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740282839 | Charles C Pegram | Optometrist | 548 Blue Ridge Ave, Bedford, VA 24523-2604 | 2005-06-02 |
1952929812 | Carilion Stonewall Jackson Hospital | Clinic/Center | 548 Blue Ridge Ave, Bedford, VA 24523-2604 | 2020-07-08 |
1740424126 | Vistar Eye Center | Eyewear Supplier (Equipment, not the service) | 548 Blue Ridge Ave, Bedford, VA 24523-2604 | 2009-04-29 |
1942409263 | Latoya Michelle Bonney | Physician Assistant | 548 Blue Ridge Ave, Bedford, VA 24523 | 2007-07-16 |
1851364756 | Kelli Linick | Family Medicine | 548 Blue Ridge Ave, Bedford, VA 24523-2604 | 2006-02-10 |
1023099157 | James E Thompson | Family Medicine | 548 Blue Ridge Ave, Bedford, VA 24523 | 2005-11-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952912107 | Mary Hunter T Barrow | Speech-Language Pathologist | 301 South Bridge St, Bedford, VA 24523 | 2020-08-12 |
1578196127 | Professional Therapies of Roanoke Inc. | Clinic/Center | 1380 American Way Court, Unit C, Bedford, VA 24523 | 2020-02-21 |
1982242202 | Andrew Jason White | Occupational Therapist | 1229 Country Farm Rd, Bedford, VA 24523 | 2019-12-17 |
1841704590 | Bosang & Chandler, Inc. | Registered Nurse | 2003 Joseph's Way, Bedford, VA 24523 | 2017-11-16 |
1720534944 | Courtney Wills | Community Health Worker | 1012 Laurel Street, Bedford, VA 24523 | 2016-08-28 |
1255710547 | Family Preservation Services, Inc | Community/Behavioral Health | 1059 Turning Point Road, Bedford, VA 24523 | 2015-05-20 |
1780082388 | Americare Plus, LLC | In Home Supportive Care | 118 South Bridge Street, Bedford, VA 24523 | 2014-12-12 |
1962764076 | Jared Paul Quesenberry | Optometrist | 1332 Lowry St, Suite A, Bedford, VA 24523 | 2012-06-13 |
1336379049 | Judith Ann Bair | Social Worker | 1105 Maiden Lane, Bedford, VA 24523 | 2009-07-16 |
1770662272 | Pamela L Thompson | Physical Therapist | 1364 American Way Village, Heartland Rehabilitation Services of Virginia Inc, Bedford, VA 24523 | 2006-11-03 |
Find all providers in zip 24523 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942381538 | Alegent Health - Mercy Hospital, Corning, Iowa | Clinic/Center | 1502 Madison St, Bedford, IA 50833-1043 | 2006-10-18 |
1952929812 | Carilion Stonewall Jackson Hospital | Clinic/Center | 548 Blue Ridge Ave, Bedford, VA 24523-2604 | 2020-07-08 |
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.