CARILION MEDICAL CENTER NPI 1114399276

NPI Information

NPI: 1114399276
Provider Name: CARILION MEDICAL CENTER
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

CLIA Number: 49D2278415

Address:
2017 JEFFERSON ST SW
ROANOKE, VA
ZIP 24014
Phone: (540) 981-7128
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CARILION MEDICAL CENTER is a dental clinic center in Roanoke, VA. CARILION MEDICAL CENTER NPI is 1114399276. The provider is registered as an organization entity type.

The provider's business location address is:

2017 JEFFERSON ST SW
ROANOKE, VA
ZIP 24014-419
Phone: (540) 981-7128

The provider's authorized official is Nicole Grisetti .
The authorized official title is Director Of Operational Support and has the following contact phone number (540) 224-5352.

The CLIA number assigned to this NPI record is 49D2278415 - hospital with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/28/2015 and was last updated on 5/22/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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