Msmg Gen Surg Mtn

LBN: Blue Ridge Medical Management Corporation
Msmg Gen Surg Mtn is an health care organization with primary practice located at 1901 S Shady St , Mountain City TN 37683-2021. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Blue Ridge Medical Management Corporation can be contacted via phone (423) 727-1139, or through Kilgore, Carl Steven via phone (423) 915-5116.

Contact Information

Primary practice address
1901 S Shady St Mountain City TN 37683-2021
Phone: (423) 727-1139
Fax: (423) 727-1173
Website:
Map and Directions
Authorized official contact:
Name: Kilgore, Carl Steven
Phone: (423) 915-5116

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1063783751
LBN Legal business name Blue Ridge Medical Management Corporation
DBA Doing business as Msmg Gen Surg Mtn
Authorized official Kilgore, Carl Steven
Entity Organization
Organization subpart 1 No
Enumeration date Jan 26th, 2012
Last updated Feb 14th, 2017 - about 7 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 1063783751 NPPES
Virginia MEDICAID 1063783751
Virginia MEDICAID 1527050

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