Ballad Health Medical Associates

LBN: Blue Ridge Medical Management Corporation
Ballad Health Medical Associates is an health care organization with primary practice located at 2000 Brookside Dr 3Rd Floor, Kingsport TN 37660-4627. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Hospitalist is the primary health care specialty. Blue Ridge Medical Management Corporation can be contacted via phone (423) 857-5905, or through Kilgore, Carl Steven via phone (423) 302-3051.

Contact Information

Primary practice address
2000 Brookside Dr 3Rd Floor Kingsport TN 37660-4627
Phone: (423) 857-5905
Fax: (423) 857-5904
Website:
Map and Directions
Authorized official contact:
Name: Kilgore, Carl Steven
Phone: (423) 302-3051

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X Tennessee

Profile Details

NPI number 1326086224
LBN Legal business name Blue Ridge Medical Management Corporation
DBA Doing business as Ballad Health Medical Associates
Authorized official Kilgore, Carl Steven
Entity Organization
Organization subpart 1 No
Enumeration date Jun 3rd, 2006
Last updated Mar 29th, 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 1326086224 NPPES
Tennessee Other CA5744 RR MEDICARE
Tennessee MEDICAID 7100115300 RR MEDICARE
Tennessee MEDICAID 1326086224 RR MEDICARE
Tennessee MEDICAID 3734243 RR MEDICARE
Tennessee MEDICAID 5912640 RR MEDICARE
Tennessee Other 020487805 RR MEDICARE
Tennessee Other 4344809 RR MEDICARE
Tennessee MEDICAID 7100031020 RR MEDICARE

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