Blue Ridge Medical Group Pa

LBN: Blue Ridge Medical Group Pa
Blue Ridge Medical Group Pa is an health care organization with primary practice located at 3214 Charles B Root Wynd Suite 217, Raleigh NC 27612-5440. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Blue Ridge Medical Group Pa can be contacted via phone (919) 789-0909, or through Mohamed, M.Hisham Abdel-Aziz via phone (919) 789-0909.

Contact Information

Primary practice address
3214 Charles B Root Wynd Suite 217 Raleigh NC 27612-5440
Phone: (919) 789-0909
Fax: (919) 789-9168
Website:
Map and Directions
Authorized official contact:
Name: Mohamed, M.Hisham Abdel-Aziz
Phone: (919) 789-0909

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 9501610 North Carolina

Profile Details

NPI number 1770632077
LBN Legal business name Blue Ridge Medical Group Pa
DBA Doing business as
Authorized official Mohamed, M.Hisham Abdel-Aziz
Entity Organization
Organization subpart 1 No
Enumeration date Jan 9th, 2007
Last updated Aug 22nd, 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 1770632077 NPPES
North Carolina MEDICAID 891116A

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