Organization
CARILION MEDICAL CENTER
Active
Parent organization
CARILION MEDICAL CENTER
Other names
CMC Pediatric Clinic OT EI, Carilion Roanoke Community Hospital - Carilion Children's Pediatric Therapy - Early Intervention Occ
Organization subpart
Yes
Provider details
NPI number
Legal business name
CARILION MEDICAL CENTER
Authorized official
ELEANOR ALTMAN PRESCOTT (DIRECTOR OF PAYER CONTRACT ADMIN.)
(504) 224-5379
Entity
Organization
Contact information
Practice address
101 ELM AVE SE, ROANOKE, VA 24013-2222
(540) 981-7000
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5452
(540) 224-5684
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
185027
ANTHEM PEDIATRIC OT
VA
05
—
4900243
—
VA
Enumeration date
04/11/2007
Last updated
02/27/2026
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