On your left, look for the broad, modern hospital complex with a tall brick tower that reads “Carilion Roanoke Memorial Hospital,” backed by a wall of green trees.
This is Carilion Roanoke Memorial Hospital, a private teaching hospital with about 703 beds... basically a small city that happens to hand out care instead of parking tickets. It started in 1899 as plain old Roanoke Hospital, back when “modern medicine” still involved a lot of hope and not nearly enough antibiotics. In the 1920s and 1930s, the place grew fast thanks to David W. Flickwir, a railroad executive who married the hospital’s nursing superintendent and then put serious money behind expansion-hundreds of thousands of dollars then, roughly several million in today’s cash. The 1925 Flickwir Memorial Unit still stands, a quiet reminder that love stories sometimes come with construction budgets.
Today, it’s the region’s ONLY Level One trauma center, with three LifeGuard helicopters ready to lift off when seconds matter.
When you’re set, Roanoke Downtown Historic District is a 1-minute walk heading north.




