CARILION STONEWALL JACKSON HOSPITAL (NPI# 1134747090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134747090 |
| Entity Type | Organization |
| Organization Name | CARILION STONEWALL JACKSON HOSPITAL |
| Practice Address |
2252 Magnolia Ave Buena Vista VA 24416-3122 |
| Mailing Address |
213 S Jefferson St Ste 625 Roanoke VA 24011-1713 |
| Practice Telephone | 5402617421 |
| 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 |
| 1780202648 | Carilion Stonewall Jackson Hospital | Clinic/Center | 609 Church St, Clifton Forge, VA 24422-1740 | 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 |
2252 MAGNOLIA AVE |
| City | BUENA VISTA |
| State | VA |
| Zip Code | 24416-3122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932108933 | George C. Wortley | Family Medicine | 2252 Magnolia Ave, Buena Vista, VA 24416-3122 | 2005-07-20 |
| 1316563968 | Carilion Healthcare Corporation | Clinic/Center | 2252 Magnolia Ave, Buena Vista, VA 24416-3122 | 2020-06-19 |
| 1467931311 | Laura Roberts Mays | Nurse Practitioner | 2252 Magnolia Ave, Buena Vista, VA 24416 | 2018-08-11 |
| 1891087821 | Thomas F. Hamilton, Md, Inc | Family Medicine | 2252 Magnolia Ave, Buena Vista, VA 24416-3122 | 2011-05-10 |
| 1447323175 | Buena Vista Medical Associates, Inc. | Family Medicine | 2252 Magnolia Ave, Buena Vista, VA 24416-3122 | 2006-11-17 |
| 1386737294 | Thomas Francis Hamilton | Family Medicine | 2252 Magnolia Ave, Buena Vista, VA 24416-3122 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851825855 | Marian Gowdy | Specialist/Technologist | 1 University Hill Drive, Buena Vista, VA 24416 | 2017-04-17 |
| 1578668448 | Margaret A Campbell Dds PC | Dentist | 2131 Maenolia Ave, Buena Vista, VA 24416 | 2006-09-14 |
| 1982104253 | Brian Morris | Pharmacist | 2263 Magnolia Ave, Buena Vista, VA 24416 | 2018-02-13 |
| 1093086381 | Jerry Mason Vanbrocklin | Pharmacist | 2263 Magnolia Ave, Buena Vista, VA 24416 | 2012-01-19 |
| 1467780999 | Preferred Call and Response, LLC | Emergency Response System Companies | 399 E. 29th Street, Buena Vista, VA 24416-0152 | 2009-11-20 |
| 1912203019 | Buena Vista Rescue Squad Inc | Ambulance | 2307 Sycamore Ave, Buena Vista, VA 24416-0668 | 2011-02-07 |
| 1467839431 | Pro Careers Inc./bvpc | Home Health | 393 E 29th St Ste 1, Buena Vista, VA 24416-1291 | 2015-04-29 |
| 1619354057 | Pro Careers Inc./bvrc | In Home Supportive Care | 393 E 29th St Ste 1, Buena Vista, VA 24416-1291 | 2015-05-06 |
| 1164809505 | Pro Careers Inc./bvcd | Case Management | 393 E 29th St Ste 1, Buena Vista, VA 24416-1291 | 2015-05-06 |
| 1033239520 | Emily Pasquariello Friar | Midwife | 170 W 29th St, Buena Vista, VA 24416-1312 | 2007-03-30 |
| Find all providers in zip 24416 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316563968 | Carilion Healthcare Corporation | Clinic/Center | 2252 Magnolia Ave, Buena Vista, VA 24416-3122 | 2020-06-19 |
| 1427395193 | Salida Hospital District | Clinic/Center | 28374 County Road 317, Buena Vista, CO 81211-9158 | 2013-01-14 |
| 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 | BUENA VISTA |
| Zip Code | 24416 |
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.