Healthcare Provider Details

I. General information

NPI: 1073506002
Provider Name (Legal Business Name): CARILION MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2005
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1615 FRANKLIN RD SW SUITE C
ROANOKE VA
24016-5208
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 540-224-4800
  • Fax: 540-982-5785
Mailing address:
  • Phone: 540-224-5715
  • Fax: 540-224-5684

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberEXEMPT
License Number State

VIII. Authorized Official

Name: ELEANOR PRESCOTT
Title or Position: GOVERNMENT PROGRAM MANAGER
Credential:
Phone: 540-224-5379