Healthcare Provider Details

I. General information

NPI: 1710970918
Provider Name (Legal Business Name): CARILION FRANKLIN MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2005
Last Update Date: 05/24/2023
Certification Date: 05/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 FLOYD AVE
ROCKY MOUNT VA
24151-1318
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 540-483-5277
  • Fax:
Mailing address:
  • Phone: 540-483-5277
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License NumberH 1836
License Number StateVA

VIII. Authorized Official

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