CARILION STONEWALL JACKSON HOSPITAL (NPI# 1952929812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952929812 |
| Entity Type | Organization |
| Organization Name | CARILION STONEWALL JACKSON HOSPITAL |
| Practice Address |
548 Blue Ridge Ave Bedford VA 24523-2604 |
| Mailing Address |
213 S Jefferson St Ste 625 Roanoke VA 24011-1713 |
| Practice Telephone | 5405864723 |
| 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 |
| 1134747090 | Carilion Stonewall Jackson Hospital | Clinic/Center | 2252 Magnolia Ave, Buena Vista, VA 24416-3122 | 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 |
548 BLUE RIDGE AVE |
| City | BEDFORD |
| State | VA |
| Zip Code | 24523-2604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740282839 | Charles C Pegram | Optometrist | 548 Blue Ridge Ave, Bedford, VA 24523-2604 | 2005-06-02 |
| 1811512791 | Carilion Healthcare Corporation | Clinic/Center | 548 Blue Ridge Ave, Bedford, VA 24523-2604 | 2020-06-16 |
| 1740424126 | Vistar Eye Center | Eyewear Supplier (Equipment, not the service) | 548 Blue Ridge Ave, Bedford, VA 24523-2604 | 2009-04-29 |
| 1942409263 | Latoya Michelle Bonney | Physician Assistant | 548 Blue Ridge Ave, Bedford, VA 24523 | 2007-07-16 |
| 1851364756 | Kelli Linick | Family Medicine | 548 Blue Ridge Ave, Bedford, VA 24523-2604 | 2006-02-10 |
| 1023099157 | James E Thompson | Family Medicine | 548 Blue Ridge Ave, Bedford, VA 24523 | 2005-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952912107 | Mary Hunter T Barrow | Speech-Language Pathologist | 301 South Bridge St, Bedford, VA 24523 | 2020-08-12 |
| 1578196127 | Professional Therapies of Roanoke Inc. | Clinic/Center | 1380 American Way Court, Unit C, Bedford, VA 24523 | 2020-02-21 |
| 1982242202 | Andrew Jason White | Occupational Therapist | 1229 Country Farm Rd, Bedford, VA 24523 | 2019-12-17 |
| 1841704590 | Bosang & Chandler, Inc. | Registered Nurse | 2003 Joseph's Way, Bedford, VA 24523 | 2017-11-16 |
| 1720534944 | Courtney Wills | Community Health Worker | 1012 Laurel Street, Bedford, VA 24523 | 2016-08-28 |
| 1255710547 | Family Preservation Services, Inc | Community/Behavioral Health | 1059 Turning Point Road, Bedford, VA 24523 | 2015-05-20 |
| 1780082388 | Americare Plus, LLC | In Home Supportive Care | 118 South Bridge Street, Bedford, VA 24523 | 2014-12-12 |
| 1962764076 | Jared Paul Quesenberry | Optometrist | 1332 Lowry St, Suite A, Bedford, VA 24523 | 2012-06-13 |
| 1336379049 | Judith Ann Bair | Social Worker | 1105 Maiden Lane, Bedford, VA 24523 | 2009-07-16 |
| 1770662272 | Pamela L Thompson | Physical Therapist | 1364 American Way Village, Heartland Rehabilitation Services of Virginia Inc, Bedford, VA 24523 | 2006-11-03 |
| Find all providers in zip 24523 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942381538 | Alegent Health - Mercy Hospital, Corning, Iowa | Clinic/Center | 1502 Madison St, Bedford, IA 50833-1043 | 2006-10-18 |
| 1811512791 | Carilion Healthcare Corporation | Clinic/Center | 548 Blue Ridge Ave, Bedford, VA 24523-2604 | 2020-06-16 |
| 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.