Ballad Health Medical Associates

LBN: Blue Ridge Medical Management Corporation
Ballad Health Medical Associates is an health care organization with primary practice located at 2000 Brookside Dr 1St Floor Room 12, Kingsport TN 37660-4627. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as the primary health care specialty. Blue Ridge Medical Management Corporation can be contacted via phone (423) 857-5907, or through Kilgore, Carl Steven via phone (423) 302-3051.

Contact Information

Primary practice address
2000 Brookside Dr 1St Floor Room 12 Kingsport TN 37660-4627
Fax: (423) 857-5904
Website:
Authorized official contact:
Name: Kilgore, Carl Steven

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X

Profile Details

NPI number 1669918314
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 Jan 18th, 2017
Last updated Mar 29th, 2019 - about 6 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 1669918314 NPPES
Tennessee MEDICAID Q026077
Tennessee MEDICAID 1669918314

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