Carilion Rockbridge Community Hospital
Organization Active NPI Rural Health Clinic/Center · Bluefield, VA
NPI 1831589480 · NPPES record last updated Feb 27, 2026
Key facts
- NPI
- 1831589480
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- License
- H1906 (VA)
- Legal business name
- CARILION ROCKBRIDGE COMMUNITY HOSPITAL
- Practice address
- 3 Westwood Medical Park
Bluefield, VA 24605-2000 - Phone
- (276) 988-8850
- Fax
- (276) 988-6050
- NPI assigned
- Feb 3, 2015
- 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 130
-
Daniel Roberts Karolyi, M.D., PH.D.
-
John O. Marsh, M.D.
-
Brandi L. Tomlin, RN
-
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.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in VA
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
- Corporation · Non-profit
- Incorporated
- Oct 1, 2005 in VA
- Enrollment address
- 108 Houston St Ste a C E
Lexington, VA 24450-2455 - Related CCNs
- 491304
Rural health clinic certification: CCN 493420
- Legal name
- CARILION ROCKBRIDGE COMMUNITY HOSPITAL
- Doing business as
- CARILION CLINIC FAMILY MEDICINE
- 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
- Corporation · Non-profit
- Incorporated
- Oct 1, 2005 in VA
- Enrollment address
- 146 S Main St
Ste 3
Lexington, VA 24450-2356 - Related CCNs
- 491304
All disclosed owners & managing parties 23
| Name | Role | Since | Share |
|---|---|---|---|
| Kimberly Shaw |
Corporate Director | Sep 30, 2022 | |
| Corporate Director | Dec 12, 1973 | ||
| Amy Dehart |
Corporate Director | Sep 30, 2022 | |
| George Robert Vaughan |
Corporate Director |
Jan 1, 2015 | |
| Gregory Madsen |
Corporate Director | Sep 30, 2022 | |
| Corporate Director | Jan 9, 1966 | ||
| Eleanor Prescott |
Corporate Director |
Oct 14, 2025 | |
| Joshua Hartle |
Corporate Director |
Oct 6, 2025 | |
| Donald B Halliwill |
Corporate Director |
Apr 22, 2010 | |
| Matthew Barr |
Corporate Director |
Jan 1, 2025 | |
| Carilion Clinic |
5% Or Greater Direct Ownership Interest | Jul 1, 2005 | 100% |
| 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 | |
| Nicole Grisetti |
Corporate Director | Nov 1, 2022 | |
| Lisa Sprinkel |
Corporate Director | Sep 30, 2022 | |
| Juliet Gibson |
Corporate Director | Sep 30, 2022 | |
| James Williams |
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 |
| O20150511002537 | VA | Part a Provider - Rural Health Clinic | 4789658261 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Lexington, VA |
| O20150512002243 | VA | Part a Provider - Rural Health Clinic | 4789658261 | Practice locations: Lexington, VA |
National Provider Directory
- Tax ID family
- Carilion Rockbridge Comm
- Part of
- Carilion Rockbridge Comm
Locations
146 S Main St
Ste 3
Lexington, VA 24450
Phone (540) 463-9158
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | H1906 | VA | Yes |
Addresses
Primary practice location
3 Westwood Medical Park
Bluefield, VA 24605-2000
Mailing address
213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713
Phone (540) 224-5452
Other practice location 1
146 S Main St Ste 3
Lexington, VA 24450-2356
Phone (540) 463-9158
Other practice location 2
108 Houston St
Suite C
Lexington, VA 24450-2455
Phone (540) 458-3344
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C00257 | Other | VA | MEDICARE PTAN (B) |
| 493420 | Other | VA | MEDICARE PTAN (A) |
| CI4187 | Other | VA | RAILROAD MEDICARE PTAN |
Other names
- Carilion Clinic Family Medicine RHC
Other providers in Bluefield, VA
- Michelle Bucklen
- Melissa Marie Buckner
- C.P. Vasudevan,M.D.,P.C.
- Alexis Greimel Canterbury
- Cardiomed PLLC
- Chad S Caskey
- Fermin Castro
- Ashutosh Chandel
- Shayan Cheraghlou
- Choice Respiratory & Medical Equipment, Inc.
All providers in Bluefield, 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.