Carilion Rockbridge Community Hospital
Organization Active NPI Rural Health Clinic/Center · Buchanan, VA
NPI 1144848003 · NPPES record last updated Feb 27, 2026
Key facts
- NPI
- 1144848003
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- CARILION ROCKBRIDGE COMMUNITY HOSPITAL
- Practice address
- 18080 Main St
Buchanan, VA 24066-5482 - Phone
- (540) 254-1239
- NPI assigned
- Jul 8, 2020
- Organization subpart
- Yes
- Parent organization (as reported)
- CARILION ROCKBRIDGE COMMUNITY HOSPITAL
Authorized official
- Name
- Eleanor Altman Prescott
- Title
- Director of Payer Contract Admin.
- Phone
- (504) 224-5379
Owners & managing parties with NPI records 3
-
Alicia S. Devine, M.D.
Other NPIs on the same Medicare enrollment 10
Other NPIs with the same Medicare PAC ID 9
Corporate family (same tax ID) 10
Related certifications (CCN) 4
Facilities with the same owner 31
Practitioners 124
-
Kathleen D Strickland, PA C
-
Carol Ann Ascher, NP
-
Sameh Aziz, MD
-
Timothy Beirne, MD
-
Mohammed Bermo, MD
-
Carol A Bernier, D.O.
-
Joseph Arlan Birkman, D.O.
-
Dustin M. Boatman, M.D.
-
Casey Rae Bowles, PA-C
-
Matthew Earle Bryant, M.D.
-
Grant Jeremy Cosgriff, PA-S
-
Beth Lawhorne Cullen, FNP-C
-
Esmaeel Reza Dadashzadeh, M.D.
-
Adam Donithan, MD
-
Elizabeth Carol Dubovsky, M.D.
-
Jason R Faulhaber, M.D.
-
David Feigal III, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in VA
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
- Corporation · Non-profit
- Incorporated
- Nov 1, 1958 in VA
- Enrollment address
- 18080 Main St
Buchanan, VA 24066-5482 - Related CCNs
- 491304
All disclosed owners & managing parties 20
| Name | Role | Since | Share |
|---|---|---|---|
| Kimberly Shaw |
Corporate Director | Sep 30, 2022 | |
| Amy Dehart |
Corporate Director | Sep 30, 2022 | |
| George Robert Vaughan |
Corporate Director |
Jan 1, 2010 | |
| Gregory Madsen |
Corporate Director | Sep 30, 2022 | |
| Eleanor Prescott |
Corporate Director |
Oct 14, 2025 | |
| Joshua Hartle |
Corporate Director |
Oct 6, 2025 | |
| Donald B Halliwill |
Corporate Director |
Jan 1, 2010 | |
| Matthew Barr |
Corporate Director |
Jan 1, 2025 | |
| Stonewall Jackson Hospital Community Health Foundation |
5% Or Greater Direct Ownership Interest | Jul 1, 2005 | 20% |
| Carilion Clinic |
5% Or Greater Direct Ownership Interest | Jul 1, 2005 | 80% |
| Kristina Dukes Werner |
Corporate Director |
Jan 1, 2026 | |
| Reginald Early |
Corporate Director | Sep 30, 2022 | |
| Marylin E Alexander |
Corporate Director | Sep 30, 2022 | |
| Tracy Lyons |
Corporate Director | Sep 30, 2022 | |
| Joshua Elrod |
Corporate Director | Sep 30, 2022 | |
| Ayesha Kelly |
Corporate Director | Jan 1, 2024 | |
| Alicia S Devine |
Corporate Director | Sep 30, 2022 | |
| Nathan Ramsey |
Corporate Director | Sep 30, 2022 | |
| Kimberly Reynolds |
W-2 Managing Employee | May 22, 2023 | |
| Duaine Fitzgerald |
Corporate Director | Sep 30, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Tax ID family
- Carilion Rockbridge Comm
- Part of
- Carilion Rockbridge Comm
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Yes |
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
- Carilion Clinic Buchanan RHC
- Carilion Clinic Family Medicine
Other providers in Buchanan, VA
- Abe & Norma'S RX Inc
- Abe&Norma RX Inc
- Carilion Healthcare Corporation
- Kaylah Bryant Carter
- Diane Myers Cook
- Mary Virginia Falls
- Robert J. Glenney
- H2 Rehabilitation Services of Virginia, LLC
All providers in Buchanan, VA · Rural Health Clinic/Center in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.