Organization · Type 2 NPI

Carilion Healthcare Corporation

Rural Health Clinic/Center · Rocky Mount, VA

NPI number 1639794548 Active

Practice location

796 Old Franklin Tpke
Rocky Mount, VA 24151-5507

Call (540) 483-5168 Map

Mailing address

213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

5 other providers at this address

Carilion Giles Community HospitalRural Health Clinic/Center Rocky Mount, VA NPI 1275151318
Adam Tate, MDFamily Medicine Physician Rocky Mount, VA NPI 1114422904
James Allen Maxey, DOFamily Medicine Physician Rocky Mount, VA NPI 1730355231
Lauren Ellis McGuire, N.P.Family Nurse Practitioner Rocky Mount, VA NPI 1891193132
Sarah Longest Stubbs, MDFamily Medicine Physician Rocky Mount, VA NPI 1508185893

Other rural health clinic/center providers in Rocky Mount

See all in Rocky Mount →

NPI record

NPI: 1639794548
Entity type: Organization (Type 2)
Issued: Jun 16, 2020
Last updated: May 25, 2023
Status: Active
Subpart: Yes of Carilion Healthcare Corporation

Other names

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Carilion Clinic Family Medicine · doing business as
Carilion Clinic Family Medicine · doing business as

Authorized official

Nicole Grisetti
Director of Operational Support
(540) 224-5352

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1639794548

Carilion Healthcare Corporation's National Provider Identifier is 1639794548, issued on Jun 16, 2020. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Rocky Mount, VA. The record was last updated on May 25, 2023.