Ballad Health Medical Associates
LBN: Blue Ridge Medical Management Corporation
Ballad Health Medical Associates is an health care organization with primary practice located at 408 N State Of Franklin Rd Suite 24, Johnson City TN 37604-6089. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty.
Blue Ridge Medical Management Corporation can be contacted via phone (423) 431-1810, or through Kilgore, Carl Steve via phone (423) 302-3051.
Contact Information
Primary practice address
408 N State Of Franklin Rd Suite 24
Johnson City TN 37604-6089
Phone: (423) 431-1810
Fax: (423) 431-1811
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X |
Profile Details
| NPI number | 1134400039 |
|---|---|
| LBN Legal business name | Blue Ridge Medical Management Corporation |
| DBA Doing business as | Ballad Health Medical Associates |
| Authorized official | Kilgore, Carl Steve |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 6th, 2011 |
| 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 | 1134400039 | NPPES |
| Tennessee | Other | 020487800 | DEPARTMENT OF LABOR |
| Tennessee | MEDICAID | 1525808 | DEPARTMENT OF LABOR |
| Tennessee | MEDICAID | 1134400039 | DEPARTMENT OF LABOR |
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