Msmg Pul Cc Jmh
LBN: Blue Ridge Medical Management Corporation
Msmg Pul Cc Jmh is an health care organization with primary practice located at 16000 Johnston Memorial Dr Suite 112D, Abingdon VA 24211-7659. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Pulmonary Disease is the primary health care specialty.
Blue Ridge Medical Management Corporation can be contacted via phone (276) 258-1740, or through Kilgore, Carl Steven via phone (423) 915-5100.
Contact Information
Primary practice address
16000 Johnston Memorial Dr Suite 112D
Abingdon VA 24211-7659
Phone: (276) 258-1740
Fax: (276) 258-1745
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | ||
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X |
Profile Details
| NPI number | 1548686843 |
|---|---|
| LBN Legal business name | Blue Ridge Medical Management Corporation |
| DBA Doing business as | Msmg Pul Cc Jmh |
| Authorized official | Kilgore, Carl Steven |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 11th, 2014 |
| Last updated | Jul 8th, 2015 - about 10 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 | 1548686843 | NPPES |
| Virginia | MEDICAID | 1548686843 |
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