Healthcare Provider Details

I. General information

NPI: 1912987231
Provider Name (Legal Business Name): CARILION TAZEWELL COMMUNITY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/20/2006
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

388 BEN BOLT AVE
TAZEWELL VA
24651-5386
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 276-988-8700
  • Fax:
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 Number
License Number State

VIII. Authorized Official

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