Msmg Pulmonology Of Kingsport A

LBN: Blue Ridge Medical Management Corporation
Msmg Pulmonology Of Kingsport A is an health care organization with primary practice located at 444 Clinchfield St Unit 201A, Kingsport TN 37660-3858. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as the primary health care specialty. Blue Ridge Medical Management Corporation can be contacted via phone (423) 857-7650, or through Kilgore, Carl Steven via phone (423) 915-5100.

Contact Information

Primary practice address
444 Clinchfield St Unit 201A Kingsport TN 37660-3858
Phone: (423) 857-7650
Fax: (423) 857-7655
Website:
Map and Directions
Authorized official contact:
Name: Kilgore, Carl Steven
Phone: (423) 915-5100

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X

Profile Details

NPI number 1699188276
LBN Legal business name Blue Ridge Medical Management Corporation
DBA Doing business as Msmg Pulmonology Of Kingsport A
Authorized official Kilgore, Carl Steven
Entity Organization
Organization subpart 1 No
Enumeration date Jun 11th, 2014
Last updated Feb 14th, 2017 - about 7 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 1699188276 NPPES
Virginia MEDICAID 1699188276
Virginia MEDICAID Q009979

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