CARILION MEDICAL CENTER (NPI# 1861017782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861017782 |
| Entity Type | Organization |
| Organization Name | CARILION MEDICAL CENTER |
| Practice Address |
388 Ben Bolt Ave Tazewell VA 24651-5386 |
| Mailing Address |
213 S Jefferson St Ste 625 Roanoke VA 24011-1713 |
| Practice Telephone | 2769888850 |
| 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 MEDICAL CENTER |
| 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 |
|---|---|---|---|---|
| 1780660233 | Carilion Medical Center | Rehabilitation Hospital | 101 Elm Ave Se Fl 7, Roanoke, VA 24013-2222 | 2005-12-16 |
| 1477546844 | Carilion Medical Center | Hospice Care, Community Based | 1917 Franklin Rd Sw, Suite B, Roanoke, VA 24014-1103 | 2005-08-31 |
| 1114399276 | Carilion Medical Center | Clinic/Center | 2017 Jefferson St Sw, Roanoke, VA 24014-2419 | 2015-10-28 |
| 1982908547 | Carilion Medical Center | Durable Medical Equipment & Medical Supplies | 3 Riverside Cir, Roanoke, VA 24016-4955 | 2010-12-22 |
| 1073835567 | Carilion Medical Center | Family Medicine | 213 S Jefferson St, Suite 625, Roanoke, VA 24011-1705 | 2010-02-24 |
| 1851621130 | Carilion Medical Center | Durable Medical Equipment & Medical Supplies | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2010-01-08 |
| 1649423815 | Carilion Medical Center | Family Medicine | 1906 Belleview Ave Se, Emergency Department, Roanoke, VA 24014-1838 | 2008-10-31 |
| 1730302126 | Carilion Medical Center | Early Intervention Provider Agency | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2007-04-11 |
| 1649493032 | Carilion Medical Center | Early Intervention Provider Agency | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2007-04-11 |
| 1669695052 | Carilion Medical Center | Early Intervention Provider Agency | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2007-04-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CARILION MEDICAL CENTER | 2001 Crystal Spring, Roanoke, VA 24014-2462 |
| Virginia Business Entities | CARILION MEDICAL CENTER | 213 S Jefferson St Ste 1600, Roanoke, Virginia 24011-1725 |
| Street Address |
388 BEN BOLT AVE |
| City | TAZEWELL |
| State | VA |
| Zip Code | 24651-5386 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952382426 | Ladonna Lee Osborne | Nurse Practitioner | 388 Ben Bolt Ave, Tazewell, VA 24651-5386 | 2005-11-10 |
| 1437776556 | Carilion Giles Community Hospital | Clinic/Center | 388 Ben Bolt Ave, Tazewell, VA 24651-5386 | 2020-07-06 |
| 1780228528 | Emily Mcclanahan | Family Medicine | 388 Ben Bolt Ave, Tazewell, VA 24651-5386 | 2019-11-05 |
| 1962060889 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 388 Ben Bolt Ave, Tazewell, VA 24651-5386 | 2019-06-05 |
| 1851954622 | Jasmine Dawn Clevinger | Pharmacist | 388 Ben Bolt Ave, Tazewell, VA 24651-5386 | 2019-04-17 |
| 1053870584 | Solstas Lab Partners Group LLC | Clinical Medical Laboratory | 388 Ben Bolt Ave, Tazewell, VA 24651-5386 | 2019-03-14 |
| 1942632245 | Tristen Amber Pack | Physician Assistant | 388 Ben Bolt Ave, Tazewell, VA 24651-5386 | 2013-08-08 |
| 1235573478 | Denny Ray Goss II | Emergency Medicine | 388 Ben Bolt Ave, Tazewell, VA 24651-5386 | 2013-04-18 |
| 1144536509 | Rebekah P Peery | Nurse Practitioner | 388 Ben Bolt Ave, Tazewell, VA 24651-5386 | 2010-08-24 |
| 1295968600 | Qasim Ali Rao | Radiology | 388 Ben Bolt Ave, Tazewell, VA 24651-5386 | 2009-09-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043663727 | Erich Lutz | Dentist | 215 Central Ave., Tazewell, VA 24651 | 2016-07-19 |
| 1467884114 | Kristie L Stevenson | Speech-Language Pathologist | 982 Benbolt Ave, Tazewll, VA 24651 | 2013-08-05 |
| 1033550355 | Family Preservation Services, Inc | Community/Behavioral Health | 1604 Pisgah Road, Tazewell, VA 24651 | 2013-07-15 |
| 1205056678 | Family Preservation Services, Inc | Community/Behavioral Health | 819 Tazewell Ave, Tazewell, VA 24651 | 2007-04-27 |
| 1083745053 | Southwest Virginia Community Health Systems Inc | Clinic/Center | 386 Ben Bolt Avenue, Tazewell, VA 24651 | 2007-03-08 |
| 1730242298 | Clinch Valley Pharmacy | Pharmacy | 1000 Ben Bolt Avenue, Tazewell, VA 24651 | 2006-12-18 |
| 1871609792 | Ronald Wayne Householder | Dentist | 316 Ben Bolt Avenue, Tazewell, VA 24651 | 2006-08-22 |
| 1720008485 | Eduardo Torrefranca Tolosa | Family Medicine | 984 Benbolt Avenue, Tazewell, VA 24651 | 2006-07-19 |
| 1619995933 | Rodney Ralston Abrahams I | Dentist | 204 Campbell Ln, Tazewell, VA 24651 | 2006-07-17 |
| 1922048834 | Robert S Rambo | Counselor | 526 W Main St, Tazewell, VA 24651 | 2006-06-08 |
| Find all providers in zip 24651 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750346979 | Merit Medical Rhc Tazewell Inc | Clinic/Center | 900 Ben Bolt Professional Park, Tazewell, VA 24651 | 2006-04-19 |
| 1437776556 | Carilion Giles Community Hospital | Clinic/Center | 388 Ben Bolt Ave, Tazewell, VA 24651-5386 | 2020-07-06 |
| 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.