CARILION NEW RIVER VALLEY MEDICAL CENTER (NPI# 1538152913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538152913 |
| Entity Type | Organization |
| Organization Name | CARILION NEW RIVER VALLEY MEDICAL CENTER |
| Other Organization Name | CARILION CLINIC HOSPICE |
| Practice Address |
701 Randolph St Suite 110 Radford VA 24141-3047 |
| Practice Telephone | 5402244753 |
| Mailing Telephone | 5402244753 |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2018-04-26 |
| Authorized Official Name | REBECCA H JOHNSON (DELEGATED OFFICIAL) |
| Authorized Official Telephone | 5402245715 |
| Is Organization Subpart | Y |
| Parent Organization Name | CARILION NEW RIVER VALLEY MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | EXEMPT | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | SOUTHERN HEALTH | 221349 | 01 |
| VA | 004915071 | 05 | |
| VA | ANTHEM | 227173 | 01 |
| VA | MEDICARE PTAN | 491507 | 01 |
| Other Name | Type Code |
|---|---|
| Carilion Clinic Hospice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427041458 | Carilion New River Valley Medical Center | Home Health | 707 Randolph St, Suite 104, Radford, VA 24141-2443 | 2005-08-24 |
| 1316000516 | Carilion New River Valley Medical Center | Clinic/Center | 2900 Tyler Rd, Christiansburg, VA 24073-6374 | 2006-12-18 |
| 1720042948 | Carilion New River Valley Medical Center | Psychiatric Unit | 2900 Lamb Circle, Christiansburg, VA 24073 | 2006-04-14 |
| 1376536573 | Carilion New River Valley Medical Center | General Acute Care Hospital | 2900 Lamb Circle, Christiansburg, VA 24073-6374 | 2005-08-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CARILION NEW RIVER VALLEY MEDICAL CENTER | 2900 Lamb Circle Rd Ste 150, Christiansburg, VA 24073-6341 |
| Virginia Business Entities | CARILION NEW RIVER VALLEY MEDICAL CENTER | 2900 Lamb Cir, Christiansburg, Virginia 24073-6344 |
| Street Address |
701 RANDOLPH ST SUITE 110 |
| City | RADFORD |
| State | VA |
| Zip Code | 24141-3047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710084884 | Athena A Howard Md PC | Internal Medicine | 701 Randolph St, Suite 210, Radford, VA 24141-3047 | 2006-09-20 |
| 1265413892 | April L Wilson | Nurse Practitioner | 701 Randolph St, Suite 120, Radford, VA 24141-3047 | 2005-11-10 |
| 1760463301 | Scott A Kincaid | Family Medicine | 701 Randolph St, Suite 120, Radford, VA 24141-3047 | 2005-11-10 |
| 1780665331 | Thaddeus C Lee | Family Medicine | 701 Randolph St, Suite 120, Radford, VA 24141-3047 | 2005-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952948242 | K -va -t Food Stores Inc | Durable Medical Equipment & Medical Supplies | 1701 Tyler Avenue, Radford, VA 24141 | 2019-12-05 |
| 1922412055 | Jeremy Gronos | Physical Therapist | 600-a East Main Street, Suite A, Radford, VA 24141 | 2014-06-17 |
| 1104188994 | Thu Lenguyen | Occupational Therapy Assistant | 700 Randolph St., Radford, VA 24141 | 2012-06-08 |
| 1316220833 | Susan Ranee' Fisher | Nurse Practitioner | 31 West Main Street, Radford, VA 24141 | 2011-09-21 |
| 1174817571 | Natalie Moore Irvine | Social Worker | 409 A East Main Street, Dublin, VA 24141 | 2011-06-02 |
| 1265628440 | Camelot of Virginia, LLC | Community Based Residential Treatment Facility, Mental Illness | 5978 Belsprings Rd., Radford, VA 24141 | 2007-09-20 |
| 1285762229 | Goodwill Industries of The Valleys - Radford | Day Training, Developmentally Disabled Services | 103 Duncan Lane, Radford, VA 24141 | 2007-03-01 |
| 1154480697 | Kathryn E. Ganhewa | Counselor | 409 East Main St., Suite A, Radford, VA 24141 | 2006-12-08 |
| 1487759957 | Professional Rehab Associates, Inc | Physical Therapist | 1200 Tyler Ave, Radford, VA 24141 | 2006-09-13 |
| 1437183969 | Scott Irwin | Nurse Practitioner | 2900 Lambs Circle Rd, Radford, VA 24141 | 2006-07-10 |
| Find all providers in zip 24141 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245596543 | Intrepid of Piedmont Ridge, Inc. | Hospice Care, Community Based | 101 W Main St, Radford, VA 24141-1582 | 2012-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073112678 | A Step Above Health Services | Hospice Care, Community Based | 2450 Randolph Creek Rd, New Canton, VA 23123-2418 | 2020-10-23 |
| 1881293835 | Riverside Health Source LLC | Hospice Care, Community Based | 289 Hospital Rd, Tappahannock, VA 22560-5145 | 2020-10-21 |
| 1699373449 | Affinity Care of Virginia LLC | Hospice Care, Community Based | 714 Thimble Shoals Blvd Ste C, Newport News, VA 23606-2574 | 2020-10-14 |
| 1730786138 | Serenity First, LLC | Hospice Care, Community Based | 4915 Fitzhugh Ave, Richmond, VA 23230-3544 | 2020-10-08 |
| 1477169811 | Advance Care Hospice, LLC | Hospice Care, Community Based | 585 Southlake Blvd Ste A, North Chesterfield, VA 23236-3198 | 2020-09-21 |
| 1689285660 | Va State Transportation LLC | Hospice Care, Community Based | 11079 Quail Whistle Dr, Glen Allen, VA 23059-5200 | 2020-08-12 |
| 1386263499 | Trinity Hospice 1, LLC | Hospice Care, Community Based | 1401 Kempsville Road, Suite A, Unit 1, Chesapeake, VA 23320 | 2020-04-09 |
| 1114550134 | Athc - Hospice, LLC | Hospice Care, Community Based | 1121 Heatherstone Dr, Fredericksburg, VA 22407-4828 | 2020-02-18 |
| 1548893951 | 24/7 We Care, LLC | Hospice Care, Community Based | 900 Granby St, Norfolk, VA 23510-2503 | 2020-02-14 |
| 1548806573 | All-4-one Home Healthcare Services, Inc. | Hospice Care, Community Based | 1629 Salem Rd Ste 101, Virginia Beach, VA 23456-5494 | 2019-11-25 |
| 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.