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The original building was designed by noted Philadelphia architect Mantle Fielding and was built to house St. Albans School, an elite boys school which was founded by George W. Miles and opened in 1892. The school closed in 1911.
In 1915, Dr. John Cephas King purchased the property and established Saint Albans Sanatorium which later became Saint Albans Hospital. The building was used for patient care until the new Hospital was completed in 1980. In the 1990s, the hospital became part of the Carilion Health System, which moved ahead with plans to relocate it to another site eventually building the New River Medical Center at its current location off of Interstate 81. The Old buildings and the surrounding 78 acres became a gift from Carilion to the Radford University Foundation in 2004. Whereas the addition houses RU West Campus, the historic buildings have been virtually empty ever since. With the planned sale of the property the future of this landmark a center of learning and healing for mare than a century is still uncertain.
Two men put their dreams into St. Albans. George Miles wanted to establish an elite boys school overlooking the New River. Dr. John King aspired to make a better psychiatric care facility. It was their visions that put St. Albans on the map. Maybe it is time for another new vision or maybe Dr. King is still working on his own vision?