Ballad Health Medical Associates

LBN: Blue Ridge Medical Management Corporation
Ballad Health Medical Associates is an health care organization with primary practice located at 310 N State Of Franklin Rd Suite 400, Johnson City TN 37604-6008. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Cardiovascular Disease is the primary health care specialty. Blue Ridge Medical Management Corporation can be contacted via phone (423) 979-6000, or through Kilgore, Carl Steven via phone (423) 302-3051.

Contact Information

Primary practice address
310 N State Of Franklin Rd Suite 400 Johnson City TN 37604-6008
Phone: (423) 979-6000
Fax: (423) 979-6011
Website:
Map and Directions
Authorized official contact:
Name: Kilgore, Carl Steven
Phone: (423) 302-3051

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1740227131
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 Jun 2nd, 2006
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 1740227131 NPPES
Tennessee Other CA5744 RAILROAD MEDICARE
Tennessee MEDICAID 3377130 RAILROAD MEDICARE
Tennessee Other 020487820 RAILROAD MEDICARE
Tennessee MEDICAID 1740227131 RAILROAD MEDICARE
Tennessee MEDICAID 1740227131 RAILROAD MEDICARE

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