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 31C, Johnson City TN 37604-6089. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities is the primary health care specialty. Blue Ridge Medical Management Corporation can be contacted via phone (423) 431-4946, or through Kilgore, Carl Steve via phone (423) 302-3051.

Contact Information

Primary practice address
408 N State Of Franklin Rd Suite 31C Johnson City TN 37604-6089
Fax: (423) 431-4947
Website:
Authorized official contact:
Name: Kilgore, Carl Steve

Profile Details

NPI number 1134500218
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 Jun 15th, 2015
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 1134500218 NPPES
Virginia MEDICAID 1134500218
Virginia MEDICAID Q013693

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