Dba Heart & Vascular Group

LBN: Blue Ridge Medical Management Corporation
Dba Heart & Vascular Group is an health care organization with primary practice located at 1021 Coolidge St , Greeneville TN 37743-4672. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty. Blue Ridge Medical Management Corporation can be contacted via phone (423) 636-2339, or through Kilgore, C Steven via phone (423) 915-5185.

Contact Information

Primary practice address
1021 Coolidge St Greeneville TN 37743-4672
Phone: (423) 636-2339
Fax: (423) 636-2430
Website:
Map and Directions
Authorized official contact:
Name: Kilgore, C Steven
Phone: (423) 915-5185

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X

Profile Details

NPI number 1346279486
LBN Legal business name Blue Ridge Medical Management Corporation
DBA Doing business as Dba Heart & Vascular Group
Authorized official Kilgore, C Steven
Entity Organization
Organization subpart 1 No
Enumeration date Jul 1st, 2006
Last updated May 27th, 2010 - about 14 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 1346279486 NPPES
Tennessee MEDICAID 3716298

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