Alan F. Jacks, Md, Pa

LBN: Blue Ridge Healthcare Medical Group, Inc.
Alan F. Jacks, Md, Pa is an health care organization with primary practice located at 845 Malcolm Blvd , Rutherford College NC 28671-0476. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Blue Ridge Healthcare Medical Group, Inc. can be contacted via phone (828) 874-0555, or through Fritts, Robert G via phone (828) 580-4661.

Contact Information

Primary practice address
845 Malcolm Blvd Rutherford College NC 28671-0476
Phone: (828) 874-0555
Fax: (828) 874-2111
Website:
Map and Directions
Authorized official contact:
Name: Fritts, Robert G
Phone: (828) 580-4661

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 969601640 North Carolina

Profile Details

NPI number 1740558949
LBN Legal business name Blue Ridge Healthcare Medical Group, Inc.
DBA Doing business as Alan F. Jacks, Md, Pa
Authorized official Fritts, Robert G
Entity Organization
Organization subpart 1 No
Enumeration date Dec 2nd, 2011
Last updated May 13th, 2014 - about 11 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 1740558949 NPPES
North Carolina Other 2327875 MEDICARE PTAN

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