| Organization Name: | CARILION NEW RIVER VALLEY MEDICAL CENTER |
| NPI Number: | 1295868792 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JILL MARIE TRAEGDE-HALSTEAD (CLINICAL DIETITIAN II) |
| Mailing Address: | 2900 Tyler Rd Radford |
| State: | VA US |
| Postal Code: | 241415041 |
| Phone Number: | 5407312570 |
| Fax Number: | 5407312647 |
| NPI Enumeration Date: | 03/13/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |