MEDICARE: CARILION MEDICAL CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1073324810
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARILION MEDICAL CENTER

Provider Business Mailing Address
First Line	:	213 S JEFFERSON ST STE 1006
Second Line	:
City	:	ROANOKE
State	:	VA
Zip	:	24011-1713
Country	:	US
Telephone Number	:	540-224-5452
Fax Number	:	540-224-5684

Provider Business Practice Location Address
First Line	:	35 MEDICAL CT
Second Line	:
City	:	HARDY
State	:	VA
Zip	:	24101-3992
Country	:	US
Telephone Number	:	540-510-6200
Fax Number	:	540-857-5306

Authorized Official
Title or Position	:	DIRECTOR OF PAYER CONTRACT ADMIN.
Name	:	ELEANOR ALTMAN PRESCOTT
Credential	:
Telephone Number	:	504-224-5379

Provider Enumeration Date	:	01/20/2025
Last Update Date	:	02/27/2026

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Directions to “CARILION MEDICAL CENTER ” Practice Location

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