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General NPI Number Information
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NPI Number | 1467993089
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Entity Type | Organization
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Legal Business Name | CARILION GILES COMMUNITY HOSPITAL
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Dates
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Enumeration Date | 03/15/2017
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 159 HARTLEY WAY
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City | PEARISBURG
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State | VA
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Zip | 24134-2471
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Country | US
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Telephone | 540-921-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 213 S JEFFERSON ST STE 1006
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City | ROANOKE
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State | VA
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Zip | 24011-1713
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | GOVERNMENT PROGRAM MANAGER
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Name | ELEANOR ALTMAN PRESCOTT
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Credential |
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Telephone | 540-224-5379
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number | H1837
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | H1837
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License Number State | VA
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