| Carilion Roanoke Memorial Hospital-psych | |
|
2017 Jefferson St Sw Roanoke VA 24014-2419 | |
| (540) 224-5512 | |
| (540) 224-5458 |
| Full Name | Carilion Roanoke Memorial Hospital-psych |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 2017 Jefferson St Sw, Roanoke, Virginia |
| Authorized Official Name and Position | Nicole Grisetti (DIRECTOR OF OPERATIONAL SUPPORT) |
| Authorized Official Contact | 5402245352 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carilion Roanoke Memorial Hospital-psych 213 S Jefferson St Ste 1006 Roanoke VA 24011-1713 Ph: (540) 224-5715 | Carilion Roanoke Memorial Hospital-psych 2017 Jefferson St Sw Roanoke VA 24014-2419 Ph: (540) 224-5512 |
| NPI Number | 1154307155 |
|---|---|
| Provider Enumeration Date | 12/21/2005 |
| Last Update Date | 05/22/2023 |
| Certification Date | 05/22/2023 |
| Medicare PECOS PAC ID | 9830096585 |
|---|---|
| Medicare Enrollment ID | O20071214000469 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154307155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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