Regional Cancer Center At Ipmc A

LBN: Blue Ridge Medical Management Corporation
Regional Cancer Center At Ipmc A is an health care organization with primary practice located at 2002 Brookside Dr Suite 300A, Kingsport TN 37660-4634. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Blue Ridge Medical Management Corporation can be contacted via phone (423) 232-6900, or through Kilgore, Carl Steven via phone (423) 915-5116.

Contact Information

Primary practice address
2002 Brookside Dr Suite 300A Kingsport TN 37660-4634
Phone: (423) 232-6900
Fax: (423) 232-6903
Website:
Map and Directions
Authorized official contact:
Name: Kilgore, Carl Steven
Phone: (423) 915-5116

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1346686763
LBN Legal business name Blue Ridge Medical Management Corporation
DBA Doing business as Regional Cancer Center At Ipmc A
Authorized official Kilgore, Carl Steven
Entity Organization
Organization subpart 1 No
Enumeration date May 13th, 2013
Last updated Feb 14th, 2017 - about 7 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 1346686763 NPPES
Tennessee MEDICAID 1516423

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