Blue Ridge Healthcare Urology

LBN: Blue Ridge Healthcare Medical Group, Inc.
Blue Ridge Healthcare Urology is an health care organization with primary practice located at 730 Malcolm Blvd Ste 100 , Connelly Springs NC 28612-8079. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty. Blue Ridge Healthcare Medical Group, Inc. can be contacted via phone (828) 580-7962, or through Fritts, Robert via phone (828) 580-5535.

Contact Information

Primary practice address
730 Malcolm Blvd Ste 100 Connelly Springs NC 28612-8079
Fax: (828) 580-3392
Website:
Authorized official contact:
Name: Fritts, Robert

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X

Profile Details

NPI number 1720318009
LBN Legal business name Blue Ridge Healthcare Medical Group, Inc.
DBA Doing business as Blue Ridge Healthcare Urology
Authorized official Fritts, Robert
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2010
Last updated Apr 29th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720318009 NPPES
North Carolina MEDICAID 891227Y
North Carolina Other 1227Y

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