Ballad Health Medical Associates

LBN: Blue Ridge Medical Management Corporation
Ballad Health Medical Associates is an health care organization with primary practice located at 408 N State Of Franklin Rd Suite 24, Johnson City TN 37604-6089. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Hospitalist is the primary health care specialty. Blue Ridge Medical Management Corporation can be contacted via phone (423) 431-1810, or through Kilgore, Carl Steven via phone (423) 302-3051.

Contact Information

Primary practice address
408 N State Of Franklin Rd Suite 24 Johnson City TN 37604-6089
Phone: (423) 431-1810
Fax: (423) 431-1811
Website:
Map and Directions
Authorized official contact:
Name: Kilgore, Carl Steven
Phone: (423) 302-3051

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X Tennessee
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1912137506
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 Jul 17th, 2009
Last updated Aug 7th, 2023 - about last year

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 1912137506 NPPES
Tennessee Other 020487819 DEPARTMENT OF LABOR
Tennessee MEDICAID 1515079 DEPARTMENT OF LABOR
Tennessee MEDICAID 5912773 DEPARTMENT OF LABOR
Tennessee MEDICAID 7100104590 DEPARTMENT OF LABOR
Tennessee MEDICAID 7100117550 DEPARTMENT OF LABOR
Tennessee MEDICAID 1912137506 DEPARTMENT OF LABOR
Tennessee Other CA5744 DEPARTMENT OF LABOR
Tennessee Other 4344857 DEPARTMENT OF LABOR

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