Organization · Type 2 NPI

Carilion Healthcare Corporation

Rural Health Clinic/Center · Boones Mill, VA

NPI number 1760008387 Active

Practice location

22890 Virgil H Goode Highway
Boones Mill, VA 24065

Call (540) 334-5511 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...

Other rural health clinic/center providers in Boones Mill

Carilion Giles Community HospitalRural Health Clinic/Center Boones Mill, VA NPI 1154948271

See all in Boones Mill →

NPI record

NPI: 1760008387
Entity type: Organization (Type 2)
Issued: Jun 19, 2020
Last updated: May 25, 2023
Status: Active
Subpart: Yes of Carilion Healthcare Corporation

Other names

<unavail>
Carilion Clinic Family & Internal Medicine · doing business as
Carilion Clinic Family & Internal 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.

Is this your record? How to update it.

About NPI 1760008387

Carilion Healthcare Corporation's National Provider Identifier is 1760008387, issued on Jun 19, 2020. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Boones Mill, VA. The record was last updated on May 25, 2023.