Ballad Health Medical Associates
LBN: Blue Ridge Medical Management Corporation
Ballad Health Medical Associates is an health care organization with primary practice located at 408 N State Of Franklin Rd Suite 31E, Johnson City TN 37604-6089. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Pediatric Gastroenterology is the primary health care specialty.
Blue Ridge Medical Management Corporation can be contacted via phone (423) 431-4946, or through Kilgore, Carl Steven via phone (423) 302-3051.
Contact Information
Primary practice address
408 N State Of Franklin Rd Suite 31E
Johnson City TN 37604-6089
Phone: (423) 431-4946
Fax: (423) 431-4947
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X |
Profile Details
| NPI number | 1619349578 |
|---|---|
| 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 | Oct 30th, 2015 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619349578 | NPPES |
| Tennessee | MEDICAID | Q020024 | |
| Tennessee | MEDICAID | 1619349578 |
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