CARILION HEALTHCARE CORPORATION (NPI# 1477178366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477178366 |
| Entity Type | Organization |
| Organization Name | CARILION HEALTHCARE CORPORATION |
| Practice Address |
544 E Stuart Dr Ste D Galax VA 24333-2231 |
| Mailing Address |
213 S Jefferson St Ste 625 Roanoke VA 24011-1713 |
| Practice Telephone | 2762366136 |
| 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 |
544 E STUART DR STE D |
| City | GALAX |
| State | VA |
| Zip Code | 24333-2231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578533873 | Arthur Samuel Pemberton | Internal Medicine | 544 E Stuart Dr Ste D, Galax, VA 24333-2231 | 2006-01-26 |
| 1235756354 | Carilion Giles Community Hospital | Clinic/Center | 544 E Stuart Dr Ste D, Galax, VA 24333-2231 | 2020-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225508872 | Family Preservation Services Inc. | Community/Behavioral Health | 140 D Larkspur Lane, Galax, VA 24333 | 2018-11-27 |
| 1215464292 | Emil William Sandstrom | Social Worker | 6999 Carrrolton Pike, Galax, VA 24333 | 2017-05-22 |
| 1548676505 | Ashley Allen Houk | Nurse Practitioner | 199 Hospital Dr Ste 7, Galax, VA 24333 | 2014-07-10 |
| 1043558745 | Oldtown Medical Care, LLC | Family Medicine | 306 Meadow St, Galax, VA 24333 | 2013-01-30 |
| 1447524152 | Karli Cathleen Meagher | Social Worker | 210 Calhoun Street, Galax, VA 24333 | 2012-02-27 |
| 1609003615 | Family Preservation Services, Inc | Community/Behavioral Health | 105 Rosenwald Felts Drive, Galax, VA 24333 | 2009-06-17 |
| 1730399452 | Stephen Earl Gause | Counselor | 6999 Carrollton Pike, Galax, VA 24333 | 2007-05-23 |
| 1326269903 | Rebecca L. Stanley | Counselor | 112 Painter Street, Galax, VA 24333 | 2007-05-01 |
| 1811075187 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 1047 East Stuart Dr, Unit 18, Galax, VA 24333 | 2006-11-02 |
| 1497858872 | Ethan Young Jones | Dentist | 1001 E Stuart Drive, Galax, VA 24333 | 2006-09-07 |
| Find all providers in zip 24333 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235756354 | Carilion Giles Community Hospital | Clinic/Center | 544 E Stuart Dr Ste D, Galax, VA 24333-2231 | 2020-07-06 |
| 1871853275 | Dlp Twin County Physician Practices LLC | Clinic/Center | 106 Doctors Park, Galax, VA 24333-2276 | 2012-05-21 |
| 1679790570 | Twin County Family Care Centers Inc | Clinic/Center | 106 Doctors Park, Galax, VA 24333-2276 | 2007-04-20 |
| 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.