Ballad Health Medical Associates

LBN: Blue Ridge Medical Management Corporation
Ballad Health Medical Associates is an health care organization with primary practice located at 1497 West Elk Ave Suite 21, Elizabethton TN 37643. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Blue Ridge Medical Management Corporation can be contacted via phone (423) 542-7420, or through Kilgore, Carl S via phone (423) 302-3051.

Contact Information

Primary practice address
1497 West Elk Ave Suite 21 Elizabethton TN 37643
Phone: (423) 542-7420
Fax: (423) 542-7425
Website:
Map and Directions
Authorized official contact:
Name: Kilgore, Carl S
Phone: (423) 302-3051

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1255634564
LBN Legal business name Blue Ridge Medical Management Corporation
DBA Doing business as Ballad Health Medical Associates
Authorized official Kilgore, Carl S
Entity Organization
Organization subpart 1 No
Enumeration date Dec 8th, 2010
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 1255634564 NPPES
Tennessee MEDICAID 1526580
Tennessee Other 020487839
Tennessee MEDICAID 1255634564

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