NPIMap

Organization Active NPI

Carilion Rockbridge Community Hospital

Doing business as Carilion Clinic Internal Medicine RHC

  • Rural Health Clinic/Center
  • Lexington, VA
National Provider Identifier
1780076265
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
H1906 Issued in VA
Legal business name
CARILION ROCKBRIDGE COMMUNITY HOSPITAL
Doing business as
Carilion Clinic Internal Medicine RHC
Practice address
108 Houston St
Suite a
Lexington, VA 24450-2455
Phone
(540) 458-3344
NPI assigned
Feb 20, 2015
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 H1906 VA Primary

Addresses

Primary practice location

108 Houston St
Suite a
Lexington, VA 24450-2455

Mailing address

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

Other identifiers 3

IdentifierTypeStateIssuer
C00257OtherVAMEDICARE PTAN (B)
493419OtherVAMEDICARE PTAN (A)
CI4187OtherVAMEDICARE RAILROAD PTAN

Other names 1

  • Carilion Clinic Internal Medicine RHC 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
O20150511002537 VA Part A Provider - Rural Health Clinic 4789658261 1 other NPI on this enrollment
Practice locations: Lexington, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1780076265. Details of each certification follow.

Rural health clinic certification: CCN 493419

Legal name
CARILION ROCKBRIDGE COMMUNITY HOSPITAL
Doing business as
CARILION CLINIC LEXINGTON
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Sep 15, 2015
Last certification
Sep 13, 2022
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Oct 1, 2005 in VA
Enrollment address
108 Houston St Ste a C E
Lexington, VA 24450-2455
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.

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
49D0232775Carilion Clinic Internal Medicine Lexington108 Houston Street - Suite a, Lexington, VA 24450Certificate of waiverDec 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Carilion Rockbridge Comm11 organizations share this tax ID, including this one
Part of
Carilion Rockbridge Comm

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 19

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 DirectorAssistant Treasurer Jan 1, 2015
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 DirectorAssistant Treasurer Apr 22, 2010
Matthew Barr Individual Corporate DirectorMember, Board of Directors Jan 1, 2025
Carilion Clinic Organization, Roanoke, VA Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 2005 100%
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 32

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 32

NPI Registry JSON

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

{
    "created_epoch": "1424390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772150400000",
    "number": "1780076265",
    "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": "108 HOUSTON ST",
            "address_2": "SUITE A",
            "city": "LEXINGTON",
            "state": "VA",
            "postal_code": "244502455",
            "telephone_number": "540-458-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARILION ROCKBRIDGE COMMUNITY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARILION ROCKBRIDGE COMMUNITY HOSPITAL",
        "enumeration_date": "2015-02-20",
        "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": "VA",
            "license": "H1906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN (B)",
            "identifier": "C00257",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN (A)",
            "identifier": "493419",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PTAN",
            "identifier": "CI4187",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carilion Clinic Internal Medicine RHC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lexington, VA

Sources for this page

Verify at the official NPI Registry.