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BLUE RIDGE MEDICAL MANAGEMENT CORPORATION NPI 1063881456


NPI Information

NPI: 1063881456
Provider Name: BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

Doing Business As: FIRST ASSIST / URGENT CARE - NORTON

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

Address:
100 15TH ST NW
SUITE A
NORTON, VA
ZIP 24273
Phone: (276) 439-1840
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BLUE RIDGE MEDICAL MANAGEMENT CORPORATION is an urgent care clinic center in Norton, VA. BLUE RIDGE MEDICAL MANAGEMENT CORPORATION NPI is 1063881456. The provider is registered as an organization entity type.
The provider Is Doing Business As First Assist / Urgent Care - Norton.

The provider's business location address is:

100 15TH ST NW
SUITE A
NORTON, VA
ZIP 24273-616
Phone: (276) 439-1840
Fax: (276) 439-1845

The provider's authorized official is Carl Steve Kilgore .
The authorized official title is President and has the following contact phone number (423) 952-5121.

The enumeration date for this NPI number is 9/16/2015 and was last updated on 2/14/2017.


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
1261QU0200XClinic/CenterUrgent CareYes

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
1623278800OTHERVIRGINIADEPARTMENT OF LABOR
21063881456MEDICAIDVIRGINIA
3C09112MEDICARE PINVIRGINIA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.