Msmg Ob Gyn Mar A

LBN: Blue Ridge Medical Management Corporation
Msmg Ob Gyn Mar A is an health care organization with primary practice located at 1205 Snider St , Marion VA 24354-4221. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. Blue Ridge Medical Management Corporation can be contacted via phone (276) 783-2354, or through Kilgore, Carl Steven via phone (423) 915-5116.

Contact Information

Primary practice address
1205 Snider St Marion VA 24354-4221
Phone: (276) 783-2354
Fax: (276) 783-2754
Website:
Map and Directions
Authorized official contact:
Name: Kilgore, Carl Steven
Phone: (423) 915-5116

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X

Profile Details

NPI number 1114219805
LBN Legal business name Blue Ridge Medical Management Corporation
DBA Doing business as Msmg Ob Gyn Mar A
Authorized official Kilgore, Carl Steven
Entity Organization
Organization subpart 1 No
Enumeration date May 12th, 2011
Last updated Jan 18th, 2016 - about 9 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 1114219805 NPPES
Virginia Other DT9105 RR MEDICARE
Virginia MEDICAID 1114219805 RR MEDICARE

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