NPIMap

Organization Active NPI

Carilion Giles Community Hospital

Doing business as Carilion Clinic Boones Mill RHC

  • Rural Health Clinic/Center
  • Boones Mill, VA
National Provider Identifier
1154948271
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 GILES COMMUNITY HOSPITAL
Doing business as
Carilion Clinic Boones Mill RHC
Carilion Clinic Family & Internal Medicine
Practice address
22890 Virgil Goode Hwy.
Boones Mill, VA 24065
Phone
(540) 334-5511
NPI assigned
Jul 6, 2020
Last updated
Feb 27, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
CARILION GILES 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
(540) 224-5379

Specialties & licenses 1

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

Addresses

Primary practice location

22890 Virgil Goode Hwy.
Boones Mill, VA 24065

Mailing address

213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713
Phone (540) 224-5452

Other names 2

  • Carilion Clinic Boones Mill RHC Doing business as
  • Carilion Clinic Family & Internal 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
O20070516000487 VA Part B Supplier - Clinic/Group Practice 3678670221 Receives reassigned benefits from 732 practitioners
14 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Middleburg, VA; Wytheville, VA; Virginia Beach, VA; Tazewell, VA; Rocky Mount, VA; Pearisburg, VA; Norfolk, VA; Martinsville, VA…
O20201204002543 VA Part A Provider - Rural Health Clinic 3678670221 Practice locations: Boones Mill, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1154948271. Details of each certification follow.

Rural health clinic certification: CCN 493443

Legal name
CARILION GILES 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
Jun 12, 1948 in VA
Enrollment address
22890 Virgil Goode Hwy
Boones Mill, VA 24065-4989
Related CCNs
491302

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

Other NPIs with the same Medicare PAC ID 16

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

View all 16

Other NPIs on the same Medicare enrollment 14

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

View all 14

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D0231693Carilion Clinic FM-Boones Mill22890 Virgil Goode Highway, Boones Mill, VA 24065Certificate of waiverMay 17, 2028

National Provider Directory

National Provider Directory
Tax ID family
Giles Memorial Hosptial17 organizations share this tax ID, including this one
Part of
Giles Memorial Hosptial

Other organizations with this tax ID 16

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

View all 16

Locations

213 S Jefferson St
Ste 625
Roanoke, VA 24011
Phone (540) 224-5677

Ownership & related parties

All disclosed owners & managing parties 23

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

NameRoleSinceShare
George Robert Vaughan Individual Corporate DirectorTreasurer Jan 1, 2010
Johnny Mills Individual Corporate DirectorMember, Board of Directors Oct 1, 2023
Kristi Eaton Individual Corporate OfficerMember, Board of Directors Oct 1, 2025
Christopher Hansen Individual Corporate Director Sep 30, 2022
Kristie G Williams Individual Corporate Director Sep 30, 2022
Eleanor Prescott Individual Corporate DirectorDirector of Payer Contracting Co Oct 14, 2025
Richard McCoy Individual Corporate Director Sep 30, 2022
Christopher McKlarney Individual Corporate Director Sep 30, 2022
Andrew P Wagner Individual Corporate Director Sep 30, 2022
Joshua Hartle Individual Corporate DirectorDirector of Provider Enrollment Oct 6, 2025
Donald B Halliwill Individual Corporate DirectorTreasurer Jan 1, 2010
Priscilla Morris Individual Corporate Director Sep 30, 2022
James a Hartley Individual Corporate Director Sep 30, 2022
Veronica Stump Individual Corporate DirectorMember, Board of Directors Oct 1, 2023
William J Flattery Individual Corporate Director Sep 30, 2022
Carilion Clinic Organization, Roanoke, VA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 2005 80%
Jose M Rivero Individual Corporate Director Sep 30, 2022
Michael L Bailey Individual Corporate Director Sep 30, 2022
Melissa Stump Individual Corporate Director Sep 30, 2022
Senthil Marimuthu Individual Corporate DirectorMember, Board of Directors Oct 1, 2023
Michael a McMahon Individual Corporate Director Sep 30, 2022
Kimberly Reynolds Individual W-2 Managing Employee May 22, 2023
Richard C Jennell 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

Change-of-ownership history 1

DateEventCounterparty
Sep 8, 2020 Change of OwnershipThis provider was the buyer Carilion Healthcare CorporationCCN 498926, VA, NPI 1760008387

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772150400000",
    "number": "1154948271",
    "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": "540-224-5452",
            "fax_number": "540-224-5684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22890 VIRGIL GOODE HWY.",
            "city": "BOONES MILL",
            "state": "VA",
            "postal_code": "24065",
            "telephone_number": "540-334-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARILION GILES COMMUNITY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARILION GILES COMMUNITY HOSPITAL",
        "enumeration_date": "2020-07-06",
        "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": "540-224-5379"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carilion Clinic Boones Mill RHC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Carilion Clinic Family & Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boones Mill, VA

Sources for this page

Verify at the official NPI Registry.