Ballad Health Medical Associates

LBN: Blue Ridge Medical Management Corporation
Ballad Health Medical Associates is an health care organization with primary practice located at 310 N State Of Franklin Rd Suite 101, Johnson City TN 37604-6008. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is the primary health care specialty. Blue Ridge Medical Management Corporation can be contacted via phone (423) 929-7393, or through Kilgore, C Steven via phone (423) 302-3051.

Contact Information

Primary practice address
310 N State Of Franklin Rd Suite 101 Johnson City TN 37604-6008
Phone: (423) 929-7393
Fax: (423) 929-0872
Website:
Map and Directions
Authorized official contact:
Name: Kilgore, C Steven
Phone: (423) 302-3051

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X

Profile Details

NPI number 1215082730
LBN Legal business name Blue Ridge Medical Management Corporation
DBA Doing business as Ballad Health Medical Associates
Authorized official Kilgore, C Steven
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2007
Last updated Mar 29th, 2019 - about 6 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 1215082730 NPPES
Tennessee MEDICAID 3732723
Tennessee MEDICAID 7100008280
Tennessee MEDICAID 7100170580
Tennessee Other DF7910
Tennessee Other 020487811
Tennessee MEDICAID 1215082730

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