NPIMap

Organization Active NPI

Carilion Tazewell Community Hospital

  • General Acute Care Hospital
  • Tazewell, VA
National Provider Identifier
1427040328
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
H 1907 Issued in VA
Legal business name
CARILION TAZEWELL COMMUNITY HOSPITAL
Practice address
388 Ben Bolt Ave
Tazewell, VA 24651-5386
Phone
(276) 988-8700
NPI assigned
Aug 17, 2005
Last updated
Feb 27, 2026By the provider in NPPES
Organization subpart
No

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
General Acute Care Hospital 282N00000X H 1907 VA Primary

Addresses

Primary practice location

388 Ben Bolt Ave
Tazewell, VA 24651-5386

Mailing address

213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713
Phone (540) 224-5516

Other identifiers 1

IdentifierTypeStateIssuer
4901177MedicaidVA

Other names 1

  • Carilion Tazewell Community Hospital - Inpatient Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, OH, FL, TN, MD, DC, NC, MS, NJ, TX, CA, ID, GA, IL, RI, MA, NY, CO, NM, HI, NV, OR, PA, WA, UT, SC, MI, KS, WI, PR, MO32 enrollments

Enrollment records 32

Enrollment IDStateProvider typePAC IDDetails
O20040721000540 VA Part B Supplier - Clinic/Group Practice 4183604259 Receives reassigned benefits from 116 practitioners
Practice locations: Carrollton, VA; Glen Allen, VA; Leesburg, VA; Middleburg, VA; Norfolk, VA; Tazewell, VA; Virginia Beach, VA
O20091203000326 VA Part A Provider - Hospital 4183604259 Practice locations: Tazewell, VA
O20201229002179 OH Part B Supplier - Clinic/Group Practice 4183604259 Receives reassigned benefits from 2 practitioners
Practice locations: New Albany, OH; Westlake, OH
O20210120001565 FL Part B Supplier - Clinic/Group Practice 4183604259 Receives reassigned benefits from 7 practitioners
Practice locations: Beverly Hills, FL; Wellington, FL; Santa Rosa Beach, FL; Palm City, FL; Melbourne Beach, FL; Highland Beach, FL; Fort Lauderdale, FL
O20231017003501 TN Part B Supplier - Clinic/Group Practice 4183604259 Receives reassigned benefits from 2 practitioners
Practice locations: Signal Mountain, TN; Memphis, TN
O20231026000882 MD Part B Supplier - Clinic/Group Practice 4183604259 Receives reassigned benefits from 2 practitioners
Practice locations: Clarksville, MD; Potomac, MD
O20231103000736 DC Part B Supplier - Clinic/Group Practice 4183604259 Receives reassigned benefits from 3 practitioners
Practice locations: Rockville, MD; Bethesda, MD; Alexandria, VA; Chevy Chase, MD
O20231130000290 NC Part B Supplier - Clinic/Group Practice 4183604259 Receives reassigned benefits from 3 practitioners
Practice locations: Lewisville, NC; Raleigh, NC; Burlington, NC
O20231211000317 MS Part B Supplier - Clinic/Group Practice 4183604259 Receives reassigned benefits from 3 practitioners
Practice locations: Madison, MS; Ridgeland, MS; Tupelo, MS
O20240219003382 NJ Part B Supplier - Clinic/Group Practice 4183604259 Receives reassigned benefits from 1 practitioner
Practice locations: Livingston, NJ
O20240219003600 TX Part B Supplier - Clinic/Group Practice 4183604259 Receives reassigned benefits from 4 practitioners
Practice locations: Alamo Heights, TX; Houston, TX; Lubbock, TX; San Antonio, TX
O20240304003428 CA Part B Supplier - Clinic/Group Practice 4183604259 Receives reassigned benefits from 4 practitioners
Practice locations: San Diego, CA; Rancho Cucamonga, CA; Corona del Mar, CA; Huntington Beach, CA
O20240416004363 ID Part B Supplier - Clinic/Group Practice 4183604259 Receives reassigned benefits from 1 practitioner
Practice locations: Coeur D Alene, ID
O20240520003073 GA Part B Supplier - Clinic/Group Practice 4183604259 Receives reassigned benefits from 3 practitioners
Practice locations: Macon, GA; Saint Simons Island, GA; Clayton, GA
O20240617001817 IL Part B Supplier - Clinic/Group Practice 4183604259 Receives reassigned benefits from 2 practitioners
Practice locations: Western Springs, IL; Oak Brook, IL
O20241106000077 RI Part B Supplier - Clinic/Group Practice 4183604259 Receives reassigned benefits from 1 practitioner
Practice locations: Barrington, RI
O20241106000179 MA Part B Supplier - Clinic/Group Practice 4183604259 Receives reassigned benefits from 5 practitioners
Practice locations: Boxford, MA; Chestnut Hill, MA; Lexington, MA; Shrewsbury, MA; Southborough, MA
O20241106000904 NY Part B Supplier - Clinic/Group Practice 4183604259 Receives reassigned benefits from 5 practitioners
Practice locations: Brooklyn, NY; Elma, NY; New Rochelle, NY; Niskayuna, NY; Sag Harbor, NY
O20241107004074 CO Part B Supplier - Clinic/Group Practice 4183604259 Receives reassigned benefits from 7 practitioners
Practice locations: Colorado Springs, CO; Denver, CO; Fort Collins, CO; Grand Junction, CO; Parker, CO
O20241108001701 NM Part B Supplier - Clinic/Group Practice 4183604259 Receives reassigned benefits from 1 practitioner
Practice locations: Albuquerque, NM
O20241112002645 HI Part B Supplier - Clinic/Group Practice 4183604259 Receives reassigned benefits from 5 practitioners
Practice locations: Kailua, HI; Kapolei, HI; Honolulu, HI
O20241113002945 NV Part B Supplier - Clinic/Group Practice 4183604259 Receives reassigned benefits from 1 practitioner
Practice locations: Reno, NV
O20241115002549 OR Part B Supplier - Clinic/Group Practice 4183604259 Receives reassigned benefits from 1 practitioner
Practice locations: La Grande, OR
O20241116000254 PA Part B Supplier - Clinic/Group Practice 4183604259 Receives reassigned benefits from 2 practitioners
Practice locations: Gibsonia, PA; Venetia, PA
O20241118001916 WA Part B Supplier - Clinic/Group Practice 4183604259 Receives reassigned benefits from 2 practitioners
Practice locations: Bellevue, WA; Liberty Lake, WA
O20241121002702 UT Part B Supplier - Clinic/Group Practice 4183604259 Receives reassigned benefits from 4 practitioners
Practice locations: Park City, UT; Sandy, UT; St George, UT
O20241203002822 SC Part B Supplier - Clinic/Group Practice 4183604259 Receives reassigned benefits from 1 practitioner
Practice locations: Sullivans Island, SC
O20241204004193 MI Part B Supplier - Clinic/Group Practice 4183604259 Receives reassigned benefits from 2 practitioners
Practice locations: Ann Arbor, MI; West Bloomfield, MI
O20241210001249 KS Part B Supplier - Clinic/Group Practice 4183604259 Receives reassigned benefits from 4 practitioners
Practice locations: Overland Park, KS; Lawrence, KS; Hays, KS; Andover, KS
O20241217001127 WI Part B Supplier - Clinic/Group Practice 4183604259 Receives reassigned benefits from 2 practitioners
Practice locations: Beloit, WI; Wausau, WI
O20250314003528 PR Part B Supplier - Clinic/Group Practice 4183604259 Receives reassigned benefits from 2 practitioners
Practice locations: San Juan, PR
O20260626000330 MO Part B Supplier - Clinic/Group Practice 4183604259 Receives reassigned benefits from 1 practitioner
Practice locations: Parkville, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1427040328. Details of each certification follow.

Hospital certification: CCN 490117

Legal name
CARILION TAZEWELL COMMUNITY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jun 17, 2013
Beds
238
Ownership / control type
Other
Most recent change of ownership
Jun 26, 1995 (1 total)
Organization structure
CorporationNon-profit
Incorporated
Feb 1, 1968 in VA
Enrollment address
388 Ben Bolt Ave
Tazewell, VA 24651-9700
Other Hospital Practice Location
Hospital subgroups
Acute care

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

Other NPIs with the same Medicare PAC ID 2

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Carilion Tazewell Community HospitalCCN 490117 · All quality measures
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

17 Westwood Medical Park
Bluefield, VA 24605
Phone (276) 322-1484

3150 Clinch St
Ste 100
Richlands, VA 24641
Phone (276) 964-7411

213 S Jefferson St
Roanoke, VA 24011

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Alicia Bales Individual Corporate DirectorHospital Senior Director Sep 25, 2019
George Robert Vaughan Individual Corporate DirectorTreasurer Jan 1, 2010
James Thompson Individual Corporate DirectorDirector/Chair Jan 1, 1992
Kristie G Williams Individual Corporate Director Jan 1, 2017
Mandy French Individual Corporate Director Jan 1, 2017
Nellie Marie Stillwell Individual Corporate Director Oct 1, 2021
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 Director Jan 17, 2012
Michael D Hymes Individual Corporate DirectorDirector Jan 18, 2011
Anthony Grills Individual Corporate Director Jan 1, 2017
William J Flattery Individual Corporate Director Jan 1, 2017
Michael Hoops Individual Corporate Director Oct 1, 2023
Carilion Clinic Organization, Roanoke, VA Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 2008 100%
Mark W Mossey Individual Corporate Director Oct 1, 2021
Donald Linkous Individual Corporate Director Oct 1, 2021
Junetta N Bowen Individual Corporate Director Dec 1, 2025
Kimberly Reynolds Individual W-2 Managing Employee May 22, 2023

Owners & managing parties with NPI records 2

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

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Carilion Home Care Services TazewellTazewell, VA, CCN 497018 Home health agency Operational/Managerial Control Sep 30, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 208

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 208

Affiliated clinicians 53

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 53

NPI Registry JSON

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772150400000",
    "number": "1427040328",
    "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": "540-224-5516",
            "fax_number": "540-224-5684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 BEN BOLT AVE",
            "city": "TAZEWELL",
            "state": "VA",
            "postal_code": "246515386",
            "telephone_number": "276-988-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARILION TAZEWELL COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-17",
        "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": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "VA",
            "license": "H 1907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4901177",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carilion Tazewell Community Hospital - Inpatient",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tazewell, VA

Sources for this page

Verify at the official NPI Registry.