NPIMap

Organization Active NPI

Carilion Rockbridge Community Hospital

Doing business as Carilion Clinic Buchanan RHC

  • Rural Health Clinic/Center
  • Buchanan, VA
National Provider Identifier
1144848003
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
CARILION ROCKBRIDGE COMMUNITY HOSPITAL
Doing business as
Carilion Clinic Buchanan RHC
Carilion Clinic Family Medicine
Practice address
18080 Main St
Buchanan, VA 24066-5482
Phone
(540) 254-1239
NPI assigned
Jul 8, 2020
Last updated
Feb 27, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
CARILION ROCKBRIDGE COMMUNITY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Authorized official

Name
Eleanor Altman Prescott
Title
Director of Payer Contract Admin.
Phone
(504) 224-5379

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

18080 Main St
Buchanan, VA 24066-5482

Mailing address

213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713
Phone (540) 224-5372

Other names 2

  • Carilion Clinic Buchanan RHC Doing business as
  • Carilion Clinic Family Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040820000838 VA Part B Supplier - Clinic/Group Practice 4789658261 Receives reassigned benefits from 629 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Carrollton, VA; Norfolk, VA; Lexington, VA; Buena Vista, VA; Buchanan, VA; Bluefield, VA; Bedford, VA
O20210205002415 VA Part A Provider - Rural Health Clinic 4789658261 Practice locations: Buchanan, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144848003. Details of each certification follow.

Rural health clinic certification: CCN 493448

Legal name
CARILION ROCKBRIDGE COMMUNITY HOSPITAL
Doing business as
CARILION CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Sep 8, 2020
Last certification
Sep 8, 2020
Ownership / control type
1B
Organization structure
CorporationNon-profit
Incorporated
Nov 1, 1958 in VA
Enrollment address
18080 Main St
Buchanan, VA 24066-5482
Related CCNs
491304

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Carilion Rockbridge Community Hospital11 organizations share this tax ID, including this one
Part of
Carilion Rockbridge Community Hospital

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 20

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kimberly Shaw Individual Corporate Director Sep 30, 2022
Amy Dehart Individual Corporate Director Sep 30, 2022
George Robert Vaughan Individual Corporate DirectorTreasurer Jan 1, 2010
Gregory Madsen Individual Corporate Director Sep 30, 2022
Eleanor Prescott Individual Corporate DirectorDirector of Payer Contracting Coord Oct 14, 2025
Joshua Hartle Individual Corporate DirectorDirector of Provider Enrollment Oct 6, 2025
Donald B Halliwill Individual Corporate DirectorTreasurer Jan 1, 2010
Matthew Barr Individual Corporate DirectorMember, Board of Directors Jan 1, 2025
Stonewall Jackson Hospital Community Health Foundation Organization, Roanoke, VA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 2005 20%
Carilion Clinic Organization, Roanoke, VA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 2005 80%
Kristina Dukes Werner Individual Corporate DirectorMember, Board of Directors Jan 1, 2026
Reginald Early Individual Corporate Director Sep 30, 2022
Marylin E Alexander Individual Corporate Director Sep 30, 2022
Tracy Lyons Individual Corporate Director Sep 30, 2022
Joshua Elrod Individual Corporate Director Sep 30, 2022
Ayesha Kelly Individual Corporate Director Jan 1, 2024
Alicia S Devine Individual Corporate Director Sep 30, 2022
Nathan Ramsey Individual Corporate Director Sep 30, 2022
Kimberly Reynolds Individual W-2 Managing Employee May 22, 2023
Duaine Fitzgerald Individual Corporate Director Sep 30, 2022

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 31

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 31

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772150400000",
    "number": "1144848003",
    "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",
            "fax_number": "540-224-5684"
        },
        {
            "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 ROCKBRIDGE COMMUNITY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARILION ROCKBRIDGE COMMUNITY HOSPITAL",
        "enumeration_date": "2020-07-08",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A",
        "authorized_official_last_name": "PRESCOTT",
        "authorized_official_first_name": "ELEANOR",
        "authorized_official_middle_name": "ALTMAN",
        "authorized_official_title_or_position": "DIRECTOR OF PAYER CONTRACT ADMIN.",
        "authorized_official_telephone_number": "504-224-5379"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carilion Clinic Buchanan RHC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Carilion Clinic Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buchanan, VA

Sources for this page

Verify at the official NPI Registry.