Tricities Cancer Care
LBN: Blue Ridge Medical Management Corporation
Tricities Cancer Care is an health care organization with primary practice located at 2020 Brookside Drive Suite 20, Kingsport TN 37660-4633. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is the primary health care specialty.
Blue Ridge Medical Management Corporation can be contacted via phone (423) 392-4673, or through Kilgore, Carl Steven via phone (423) 915-5121.
Contact Information
Primary practice address
2020 Brookside Drive Suite 20
Kingsport TN 37660-4633
Phone: (423) 392-4673
Fax: (423) 932-4257
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | ||
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X |
Profile Details
| NPI number | 1538315452 |
|---|---|
| LBN Legal business name | Blue Ridge Medical Management Corporation |
| DBA Doing business as | Tricities Cancer Care |
| Authorized official | Kilgore, Carl Steven |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 12th, 2008 |
| Last updated | Sep 7th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538315452 | NPPES |
| Tennessee | MEDICAID | 1507568 | |
| Tennessee | MEDICAID | 1538315452 |
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