Ballad Health Medical Associates

LBN: Blue Ridge Medical Management Corporation
Ballad Health Medical Associates is an health care organization with primary practice located at 1505 W Elk Ave Suite 2, Elizabethton TN 37643-2848. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Ph.D. Medical Genetics, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Blue Ridge Medical Management Corporation can be contacted via phone (423) 543-1261, or through Kilgore, Carl Steven via phone (423) 302-3051.

Contact Information

Primary practice address
1505 W Elk Ave Suite 2 Elizabethton TN 37643-2848
Phone: (423) 543-1261
Fax: (423) 543-7500
Website:
Map and Directions
Authorized official contact:
Name: Kilgore, Carl Steven
Phone: (423) 302-3051

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Ph.D. Medical Genetics 207SG0205X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1457693996
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 Mar 22nd, 2013
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 1457693996 NPPES
Tennessee Other CA5744 RR MEDICARE
Tennessee MEDICAID 1532240 RR MEDICARE
Tennessee Other 020487807 RR MEDICARE

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