Ballad Health Medical Associates

LBN: Blue Ridge Medical Management Corporation
Ballad Health Medical Associates is an health care organization with primary practice located at 16000 Johnston Memorial Dr Fourth Floor, Abingdon VA 24211-7664. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Hospitalist is the primary health care specialty. Blue Ridge Medical Management Corporation can be contacted via phone (276) 258-4050, or through Kilgore, Carl Steven via phone (423) 302-3051.

Contact Information

Primary practice address
16000 Johnston Memorial Dr Fourth Floor Abingdon VA 24211-7664
Phone: (276) 258-4050
Fax: (276) 258-4056
Website:
Map and Directions
Authorized official contact:
Name: Kilgore, Carl Steven
Phone: (423) 302-3051

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101246669 Virginia
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X Virginia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X Virginia

Profile Details

NPI number 1104171826
LBN Legal business name Blue Ridge Medical Management Corporation
DBA Doing business as Ballad Health Medical Associates
Authorized official Kilgore, Carl Steven
Entity Organization
Organization subpart 1 No
Enumeration date Jul 18th, 2012
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 1104171826 NPPES
Tennessee Other 4348719 BLUECARE
Tennessee MEDICAID 1530896 BLUECARE
Tennessee MEDICAID 1104171826 BLUECARE
Tennessee MEDICAID 1104171826 BLUECARE
Tennessee Other 614862402 BLUECARE
Tennessee Other DF9105 BLUECARE
Tennessee Other DF7910 BLUECARE

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