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NPI Code Detail

MEDICARE: CARILION NEW RIVER VALLEY MEDICAL CENTER

MEDICARE: CARILION NEW RIVER VALLEY 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
1282N00000XGeneral Acute Care HospitalH 1838VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1007672OTHERVAANTHEM HOSPITAL
2354361000OTHERVAMAGELLAN
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
50000426OTHERVASLH
637398500OTHERVABLACK LUNG
7147097OTHERVASOUTHERN HEALTH

General Provider Information

NPI Number : 1376536573
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARILION NEW RIVER VALLEY 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 : 2900 LAMB CIRCLE
Second Line :
City : CHRISTIANSBURG
State : VA
Zip : 24073-6374
Country : US
Telephone Number : 540-731-2000
Fax Number :
Authorized Official
Title or Position : DIRECTOR OF PAYER CONTRACT ADMIN.
Name : ELEANOR ALTMAN PRESCOTT
Credential :
Telephone Number : 540-224-5379
Provider Enumeration Date : 08/24/2005
Last Update Date : 02/27/2026

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