Healthcare Provider Details

I. General information

NPI: 1831589480
Provider Name (Legal Business Name): CARILION ROCKBRIDGE COMMUNITY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2015
Last Update Date: 03/12/2025
Certification Date: 03/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 WESTWOOD MEDICAL PARK
BLUEFIELD VA
24605-2000
US

IV. Provider business mailing address

213 S JEFFERSON ST STE 1006
ROANOKE VA
24011-1713
US

V. Phone/Fax

Practice location:
  • Phone: 276-988-8850
  • Fax: 276-988-6050
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License NumberH1906
License Number StateVA

VIII. Authorized Official

Name: NICOLE GRISETTI
Title or Position: DIRECTOR OF OPERATIONAL SUPPORT
Credential:
Phone: 540-224-5352