BLUE RIDGE HEALTHCARE PARTNERS LLC NPI 1518304955

NPI Information

NPI: 1518304955
Provider Name: BLUE RIDGE HEALTHCARE PARTNERS, LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
602 BRANDON AVE
SUITE 222
ROANOKE, VA
ZIP 24015
Phone: (540) 774-0000
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BLUE RIDGE HEALTHCARE PARTNERS, LLC is a primary care clinic center in Roanoke, VA. BLUE RIDGE HEALTHCARE PARTNERS, LLC NPI is 1518304955. The provider is registered as an organization entity type.

The provider's business location address is:

602 BRANDON AVE
SUITE 222
ROANOKE, VA
ZIP 24015
Phone: (540) 774-0000
Fax: (540) 774-0085

The provider's authorized official is John Jacob Gilliam .
The authorized official title is Member Manager and has the following contact phone number (336) 516-7084.

The enumeration date for this NPI number is 5/24/2013 and was last updated on 5/24/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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