Msmg Fp Im Erw
LBN: Blue Ridge Medical Management Corporation
Msmg Fp Im Erw is an health care organization with primary practice located at 630 Oneega Ln Suite A, Erwin TN 37650-2197. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Blue Ridge Medical Management Corporation can be contacted via phone (423) 735-5700, or through Kilgore, Carl S via phone (423) 915-5121.
Contact Information
Primary practice address
630 Oneega Ln Suite A
Erwin TN 37650-2197
Phone: (423) 735-5700
Fax: (423) 735-0967
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X |
Profile Details
| NPI number | 1568705457 |
|---|---|
| LBN Legal business name | Blue Ridge Medical Management Corporation |
| DBA Doing business as | Msmg Fp Im Erw |
| Authorized official | Kilgore, Carl S |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 29th, 2013 |
| Last updated | Feb 14th, 2017 - about 8 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 | 1568705457 | NPPES |
| Tennessee | Other | CA5744 | RR MEDICARE |
| Tennessee | Other | 614862405 | RR MEDICARE |
| Tennessee | MEDICAID | Q002802 | RR MEDICARE |
| Tennessee | MEDICAID | 1568705457 | RR MEDICARE |
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