Msmg Uro Rurl

LBN: Blue Ridge Medical Management Corporation
Msmg Uro Rurl is an health care organization with primary practice located at 7021 West Lee Highway Suite B, Rural Retreat VA 24368. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Urology is the primary health care specialty. Blue Ridge Medical Management Corporation can be contacted via phone (276) 783-5400, or through Kilgore, Carl Steven via phone (423) 915-5116.

Contact Information

Primary practice address
7021 West Lee Highway Suite B Rural Retreat VA 24368
Phone: (276) 783-5400
Fax: (276) 783-5521
Website:
Map and Directions
Authorized official contact:
Name: Kilgore, Carl Steven
Phone: (423) 915-5116

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024166068 Virginia

Profile Details

NPI number 1811269640
LBN Legal business name Blue Ridge Medical Management Corporation
DBA Doing business as Msmg Uro Rurl
Authorized official Kilgore, Carl Steven
Entity Organization
Organization subpart 1 No
Enumeration date Feb 9th, 2012
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 1811269640 NPPES
Virginia MEDICAID 1811269640

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