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BLUE RIDGE MEDICAL MANAGEMENT CORPORATION NPI 1912137506


NPI Information

NPI: 1912137506
Provider Name: BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

Doing Business As: BALLAD HEALTH MEDICAL ASSOCIATES

Classification: Hospitalist - 208M00000X
Entity Type: Organization
Address:
408 N STATE OF FRANKLIN RD
SUITE 24
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 431-1810
Get Directions

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION is a hospitalist in Johnson City, TN. The provider is hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. BLUE RIDGE MEDICAL MANAGEMENT CORPORATION NPI is 1912137506. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Ballad Health Medical Associates.

The provider's business location address is:

408 N STATE OF FRANKLIN RD
SUITE 24
JOHNSON CITY, TN
ZIP 37604-089
Phone: (423) 431-1810
Fax: (423) 431-1811

The provider's authorized official is Carl Steven Kilgore .
The authorized official title is President and has the following contact phone number (423) 302-3051.

The enumeration date for this NPI number is 7/17/2009 and was last updated on 8/7/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363L00000XNurse PractitionerNo
2207R00000XInternal MedicineTENNESSEENo
3208M00000XHospitalistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1020487819OTHERTENNESSEEDEPARTMENT OF LABOR
21515079MEDICAIDTENNESSEE
35912773MEDICAIDNORTH CAROLINA
47100104590MEDICAIDKENTUCKY
57100117550MEDICAIDKENTUCKY
61912137506MEDICAIDVIRGINIA
7CA5744OTHERTENNESSEERR MEDICARE
84344857OTHERTENNESSEEBLUECARE

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

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