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Organization

CARILION MEDICAL CENTER

Active
Parent organization
CARILION MEDICAL CENTER
Other names
Carilion Roanoke Community Hospital - Carilion Children's Pediatric Therapy - Early Intervention Phy, CMC Pediatric Clinic PT EI
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
185025
ANTHEM PT EI
VA
05
4900243
VA
Enumeration date
04/11/2007
Last updated
02/27/2026
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