| Carilion Clinic Family Medicine | |
|
18080 Main St Buchanan VA 24066-5482 | |
| (540) 254-1239 | |
| Not Available |
| Full Name | Carilion Clinic Family Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 18080 Main St, Buchanan, Virginia |
| Authorized Official Name and Position | Nicole Grisetti (DIRECTOR OF OPERATIONAL SUPPORT) |
| Authorized Official Contact | 5402245352 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carilion Clinic Family Medicine 213 S Jefferson St Ste 1006 Roanoke VA 24011-1713 Ph: (540) 224-5372 | Carilion Clinic Family Medicine 18080 Main St Buchanan VA 24066-5482 Ph: (540) 254-1239 |
| NPI Number | 1144848003 |
|---|---|
| Provider Enumeration Date | 07/08/2020 |
| Last Update Date | 05/22/2023 |
| Medicare PECOS PAC ID | 4789658261 |
|---|---|
| Medicare Enrollment ID | O20210205002415 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144848003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Carilion Clinic Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18080 Main St, Buchanan, VA 24066 Phone: 540-254-1239 |