Msmg Hima Fwch

LBN: Blue Ridge Medical Management Corporation
Msmg Hima Fwch is an health care organization with primary practice located at 300 Med Tech Pkwy , Johnson City TN 37604-2277. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Blue Ridge Medical Management Corporation can be contacted via phone (423) 431-1810, or through Kilgore, Carl Steven via phone (423) 915-5100.

Contact Information

Primary practice address
300 Med Tech Pkwy Johnson City TN 37604-2277
Phone: (423) 431-1810
Fax: (423) 431-1811
Website:
Map and Directions
Authorized official contact:
Name: Kilgore, Carl Steven
Phone: (423) 915-5100

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1275851974
LBN Legal business name Blue Ridge Medical Management Corporation
DBA Doing business as Msmg Hima Fwch
Authorized official Kilgore, Carl Steven
Entity Organization
Organization subpart 1 No
Enumeration date May 6th, 2010
Last updated Jul 8th, 2015 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1275851974 NPPES
Tennessee Other 4344805 BLUECARE
Tennessee MEDICAID 1520040 BLUECARE
Tennessee MEDICAID 1275851974 BLUECARE
Tennessee MEDICAID 7100118880 BLUECARE
Tennessee MEDICAID 7100161370 BLUECARE
Tennessee Other CA5744 BLUECARE

Popular Providers