CARILION HEALTHCARE CORPORATION (NPI# 1194340091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194340091 |
| Entity Type | Organization |
| Organization Name | CARILION HEALTHCARE CORPORATION |
| Practice Address |
1107a Brookdale St Martinsville VA 24112-4501 |
| Mailing Address |
213 S Jefferson St Ste 625 Roanoke VA 24011-1713 |
| Practice Telephone | 2766703300 |
| 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 & 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 |
| 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 |
| 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 |
| 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 |
1107A BROOKDALE ST |
| City | MARTINSVILLE |
| State | VA |
| Zip Code | 24112-4501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871574111 | Melissa H Smith | Registered Nurse | 1107a Brookdale St, Martinsville, VA 24112-4501 | 2005-11-11 |
| 1710504840 | Carilion Giles Community Hospital | Clinic/Center | 1107a Brookdale St, Martinsville, VA 24112-4501 | 2020-07-06 |
| 1003261496 | Antonio Roman | Family Medicine | 1107a Brookdale St, Martinsville, VA 24112-4501 | 2016-05-04 |
| 1265858161 | Martha Willis Cole | Family Medicine | 1107a Brookdale St, Martinsville, VA 24112-4501 | 2014-03-16 |
| 1407119746 | Amanda Weatherford Pallone | Family Medicine | 1107a Brookdale St, Martinsville, VA 24112-4501 | 2012-06-21 |
| 1780996736 | Shyam Easwarapillai Balakrishnan | Family Medicine | 1107a Brookdale St, Martinsville, VA 24112-4501 | 2010-07-07 |
| 1912130584 | Twana Rokhzay Jaff | Internal Medicine | 1107a Brookdale St, Martinsville, VA 24112-4501 | 2009-08-31 |
| 1316069933 | Valenica Eggleston-clark | Family Medicine | 1107a Brookdale St, Martinsville, VA 24112-4501 | 2007-04-04 |
| 1609844711 | Linda Buchanan | Internal Medicine | 1107a Brookdale St, Martinsville, VA 24112-4501 | 2006-03-14 |
| 1003885153 | William Zimmer | Internal Medicine | 1107a Brookdale St, Martinsville, VA 24112-4501 | 2006-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205327038 | Martinsville Transit, LLC | Taxi | 807 Barrows Mill Rd Apt E, Martinsville, VA 24112 | 2018-05-29 |
| 1699279422 | Terry Michelle Hamdy | Nurse Practitioner | 110 Commonwealth Blvd, Martinsville, VA 24112 | 2018-03-19 |
| 1780184523 | Susan Fullerton | Speech-Language Pathologist | 288 Lancer Lane, Martinsville, VA 24112 | 2018-02-19 |
| 1164920062 | Aesthetic & Family Dental of Martinsville PC | Dentist | 5 Dudley Street, Martinsville, VA 24112 | 2018-01-25 |
| 1124537410 | Hamdy Medical Center, PC | Clinic/Center | 110 W Commonwealth Blvd, Martinsville, VA 24112 | 2017-09-29 |
| 1588180483 | Olton Swanson | Driver | 1440 Rivermount Heights, Martinsville, VA 24112 | 2017-08-22 |
| 1639610686 | Stephanie Hairston | Non-emergency Medical Transport (VAN) | 912 Brookdale St, Ste 1, Martinsville, VA 24112 | 2017-03-10 |
| 1194182790 | Jns Home Healthcare Services | In Home Supportive Care | 708 Berkshire Place, Martinsville, VA 24112 | 2016-01-27 |
| 1033506654 | Caring Hearts Counseling LLC | Community/Behavioral Health | 624 East Church, Suite B, Martinsville, VA 24112 | 2015-04-21 |
| 1073915559 | Shirley Jackson | Occupational Therapy Assistant | 170 Village Court, Martinsville, VA 24112 | 2014-09-16 |
| Find all providers in zip 24112 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841237583 | David P Davis Medicine, PC | Clinic/Center | 890 Ridgelawn Rd, Martinsville, IL 62442-0399 | 2006-06-01 |
| 1710504840 | Carilion Giles Community Hospital | Clinic/Center | 1107a Brookdale St, Martinsville, VA 24112-4501 | 2020-07-06 |
| 1285006973 | Sarah Bush Lincoln Health Center | Clinic/Center | 890 E Ridgelawn Rd, Martinsville, IL 62442-2551 | 2015-10-21 |
| 1265703458 | Martinsville Physician Practices LLC | Clinic/Center | 1109 Brookdale St, Ste C, Martinsville, VA 24112-4543 | 2012-01-19 |
| 1801010616 | Children's Medical Center, Ltd. | Clinic/Center | 15 Cleveland Ave, Suite 14, Martinsville, VA 24112-2937 | 2007-04-12 |
| 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 | MARTINSVILLE |
| Zip Code | 24112 |
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.