Carilion Healthcare Corporation

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

CARILION HEALTHCARE CORPORATION

Doing business as

Carilion Clinic Family Medicine

Practice address

18080 Main St
Buchanan, VA 24066-5482

Phone

(540) 254-1239

NPI assigned

Jun 16, 2020

Last updated

May 25, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

CARILION HEALTHCARE CORPORATIONAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nicole Grisetti

Title

Director of Operational Support

Phone

(540) 224-5352

Specialties & licenses 1

Addresses

Other names 1

• Carilion Clinic Family Medicine Doing business as

Part of

Kent B Diduch MD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684972800000",
    "number": "1073138996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 S JEFFERSON ST STE 1006",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240111713",
            "telephone_number": "540-224-5372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18080 MAIN ST",
            "city": "BUCHANAN",
            "state": "VA",
            "postal_code": "240665482",
            "telephone_number": "540-254-1239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARILION HEALTHCARE CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARILION HEALTHCARE CORPORATION",
        "enumeration_date": "2020-06-16",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-16",
        "status": "A",
        "authorized_official_last_name": "GRISETTI",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONAL SUPPORT",
        "authorized_official_telephone_number": "540-224-5352"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carilion Clinic Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Carilion Clinic Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abe & Norma's RX Inc (Ransone's LTC)
• Abe&Norma RX Inc (Ransone's Drugs)
• Carilion Rockbridge Community Hospital (Carilion Clinic Buchanan RHC)
• Kaylah Bryant Carter, LPC
• Diane Myers Cook, PHYSICAL THERAPIST
• Mary Virginia Falls, COTA/L
• Robert J. Glenney, M.D.

• Rural Health Clinic/Center in Buchanan, VA
• Providers in Buchanan, VA by specialty
• Rural Health Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.