Cmc Pediatric Clinic Ot Ei

LBN: Carilion Medical Center
Cmc Pediatric Clinic Ot Ei is an health care organization with primary practice located at 101 Elm Ave Se , Roanoke VA 24013-2222. The organization recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as the primary health care specialty. Carilion Medical Center can be contacted via phone (540) 981-7000, or through Grisetti, Nicole via phone (540) 224-5352.

Contact Information

Primary practice address
101 Elm Ave Se Roanoke VA 24013-2222
Phone: (540) 981-7000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Grisetti, Nicole
Phone: (540) 224-5352

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1649493032
LBN Legal business name Carilion Medical Center
DBA Doing business as Cmc Pediatric Clinic Ot Ei
Authorized official Grisetti, Nicole
Entity Organization
Organization subpart 1 No
Enumeration date Apr 11th, 2007
Last updated May 24th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649493032 NPPES
Virginia Other 185027 ANTHEM PEDIATRIC OT
Virginia MEDICAID 4900243 ANTHEM PEDIATRIC OT

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