Ballad Health Medical Associates

LBN: Blue Ridge Medical Management Corporation
Ballad Health Medical Associates is an health care organization with primary practice located at 2204 Pavilion Dr Suite 310, Kingsport TN 37660-4653. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Blue Ridge Medical Management Corporation can be contacted via phone (423) 224-3900, or through Kilgore, Carl Steve via phone (423) 302-3051.

Contact Information

Primary practice address
2204 Pavilion Dr Suite 310 Kingsport TN 37660-4653
Phone: (423) 224-3900
Fax: (423) 224-3901
Website:
Map and Directions
Authorized official contact:
Name: Kilgore, Carl Steve
Phone: (423) 302-3051

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1730401209
LBN Legal business name Blue Ridge Medical Management Corporation
DBA Doing business as Ballad Health Medical Associates
Authorized official Kilgore, Carl Steve
Entity Organization
Organization subpart 1 No
Enumeration date Feb 24th, 2010
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730401209 NPPES
Tennessee Other CA5744 RAILROAD MEDICARE
Tennessee MEDICAID 1730401209 RAILROAD MEDICARE
Tennessee Other 623293300 RAILROAD MEDICARE
Tennessee MEDICAID 3719388 RAILROAD MEDICARE

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