Ballad Health Medical Associates
LBN: Blue Ridge Medical Management Corporation
Ballad Health Medical Associates is an health care organization with primary practice located at 410 N State Of Franklin Rd Suite 130, Johnson City TN 37604-6971. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Trauma, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Trauma Surgery, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Trauma Surgery is the primary health care specialty.
Blue Ridge Medical Management Corporation can be contacted via phone (423) 431-2477, or through Kilgore, Carl S via phone (423) 302-3051.
Contact Information
Primary practice address
410 N State Of Franklin Rd Suite 130
Johnson City TN 37604-6971
Phone: (423) 431-2477
Fax: (423) 431-2478
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Trauma | 207XX0801X | ||
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ||
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X |
Profile Details
| NPI number | 1093016024 |
|---|---|
| LBN Legal business name | Blue Ridge Medical Management Corporation |
| DBA Doing business as | Ballad Health Medical Associates |
| Authorized official | Kilgore, Carl S |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 8th, 2010 |
| Last updated | Mar 28th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093016024 | NPPES |
| Kentucky | MEDICAID | 7100163800 | |
| Kentucky | MEDICAID | 1522339 | |
| Kentucky | MEDICAID | 5917230 | |
| Kentucky | Other | CA5744 | |
| Kentucky | Other | 020487825 | |
| Kentucky | MEDICAID | 1093016024 | |
| Kentucky | MEDICAID | 7100203970 |
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