BLUE RIDGE MEDICAL MANAGEMENT CORPORATION NPI 1972531044

NPI Information

NPI: 1972531044
Provider Name: BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

Doing Business As: BALLAD HEALTH MEDICAL ASSOCIATES

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

Specialization: Urgent Care

Address:
395 FOREST CIR
SUITE 100
JONESBOROUGH, TN
ZIP 37659
Phone: (423) 753-0721
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BLUE RIDGE MEDICAL MANAGEMENT CORPORATION is an urgent care clinic center in Jonesborough, TN. BLUE RIDGE MEDICAL MANAGEMENT CORPORATION NPI is 1972531044. The provider is registered as an organization entity type.
The provider Is Doing Business As Ballad Health Medical Associates.

The provider's business location address is:

395 FOREST CIR
SUITE 100
JONESBOROUGH, TN
ZIP 37659-439
Phone: (423) 753-0721
Fax: (423) 753-0751

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 6/29/2006 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	261QU0200X	Clinic/Center	Urgent Care			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	3706268	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: 5/5/2024

NPI Synchronization or Removal

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