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BLUE RIDGE MEDICAL MANAGEMENT CORPORATION NPI 1104171826


NPI Information

NPI: 1104171826
Provider Name: BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

Doing Business As: BALLAD HEALTH MEDICAL ASSOCIATES

Classification: Hospitalist - 208M00000X
Entity Type: Organization
Address:
16000 JOHNSTON MEMORIAL DR
FOURTH FLOOR
ABINGDON, VA
ZIP 24211
Phone: (276) 258-4050
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BLUE RIDGE MEDICAL MANAGEMENT CORPORATION is a hospitalist in Abingdon, VA. 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 1104171826. 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:

16000 JOHNSTON MEMORIAL DR
FOURTH FLOOR
ABINGDON, VA
ZIP 24211-664
Phone: (276) 258-4050
Fax: (276) 258-4056

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 7/18/2012 and was last updated on 3/28/2019.


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
1207R00000XInternal Medicine0101246669VIRGINIANo
2208M00000XHospitalistYes
3363A00000XPhysician AssistantVIRGINIANo
4363L00000XNurse PractitionerVIRGINIANo

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
11104171826MEDICAIDVIRGINIA
2DF7910OTHERVIRGINIARR MEDICARE
3DF9105OTHERVIRGINIARR MEDICARE
41530896MEDICAIDTENNESSEE
51104171826MEDICAIDNORTH CAROLINA
64348719OTHERTENNESSEEBLUECARE
7614862402OTHERVIRGINIADEPARTMENT OF LABOR

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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