BLUE RIDGE MEDICAL MANAGEMENT CORPORATION NPI 1205249885

NPI Information

NPI: 1205249885
Provider Name: BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

Doing Business As: BALLAD HEALTH MEDICAL ASSOCIATES

Classification: Internal Medicine - 207RI0011X
Entity Type: Organization

Specialization: Interventional Cardiology

Address:
444 CLINCHFIELD ST
UNIT 201
KINGSPORT, TN
ZIP 37660
Phone: (423) 857-7650
Get Directions

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION is an interventional cardiology internal medicine in Kingsport, TN. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. BLUE RIDGE MEDICAL MANAGEMENT CORPORATION NPI is 1205249885. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Ballad Health Medical Associates.

The provider's business location address is:

444 CLINCHFIELD ST
UNIT 201
KINGSPORT, TN
ZIP 37660-858
Phone: (423) 857-7650
Fax: (423) 857-7655

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

The enumeration date for this NPI number is 6/11/2014 and was last updated on 3/29/2019.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RI0011X	Internal Medicine	Interventional Cardiology			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1205249885	MEDICAID	VIRGINIA
2	Q009978	MEDICAID	TENNESSEE

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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