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:
Map and Directions
Authorized official contact:
Name: Kilgore, Carl S
Phone: (423) 302-3051

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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