Ballad Health Medical Associates

LBN: Blue Ridge Medical Management Corporation
Ballad Health Medical Associates is an health care organization with primary practice located at 1916 Brookside Dr , Kingsport TN 37660-4602. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Blue Ridge Medical Management Corporation can be contacted via phone (423) 392-6000, or through Kilgore, Carl Steven via phone (423) 302-3051.

Contact Information

Primary practice address
1916 Brookside Dr Kingsport TN 37660-4602
Phone: (423) 392-6000
Fax: (423) 392-6030
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

Profile Details

NPI number 1346270972
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 Jul 3rd, 2006
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 1346270972 NPPES
Virginia MEDICAID 1346270972
Virginia MEDICAID 3709280

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