Provider Type Icon

CARILION MEDICAL CENTER NPI 1730302126


NPI Information

NPI: 1730302126
Provider Name: CARILION MEDICAL CENTER

Other Name: CMC PEDIATRIC CLINIC PT EI

Classification: Early Intervention Provider Agency - 252Y00000X
Entity Type: Organization

CLIA Number: 49D0967344

Address:
101 ELM AVE SE
ROANOKE, VA
ZIP 24013
Phone: (540) 981-7000
Get Directions

CARILION MEDICAL CENTER is an early intervention provider agency in Roanoke, VA. The provider is early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children's needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development. CARILION MEDICAL CENTER NPI is 1730302126. The provider is registered as an organization entity type.
The provider Other Name Is Cmc Pediatric Clinic Pt Ei.

The provider's business location address is:

101 ELM AVE SE
ROANOKE, VA
ZIP 24013-222
Phone: (540) 981-7000

The provider's authorized official is Christopher S Brown .
The authorized official title is Director, Patient Accounting and has the following contact phone number (540) 224-5405.

The CLIA number assigned to this NPI record is 49D0967344 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/11/2007 and was last updated on 8/10/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1252Y00000XEarly Intervention Provider AgencyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1185025OTHERVIRGINIAANTHEM PT EI
24900243MEDICAIDVIRGINIA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.