Msmg Hima Ucmh

LBN: Blue Ridge Medical Management Corporation
Msmg Hima Ucmh is an health care organization with primary practice located at 100 Greenway Cir , Erwin TN 37650-2177. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Internal Medicine 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) 915-5100.

Contact Information

Primary practice address
100 Greenway Cir Erwin TN 37650-2177
Fax: (423) 431-1811
Website:
Authorized official contact:
Name: Kilgore, Carl Steven

Profile Details

NPI number 1912318635
LBN Legal business name Blue Ridge Medical Management Corporation
DBA Doing business as Msmg Hima Ucmh
Authorized official Kilgore, Carl Steven
Entity Organization
Organization subpart 1 No
Enumeration date May 15th, 2014
Last updated Dec 3rd, 2014 - about 11 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 1912318635 NPPES
Virginia MEDICAID 1912318635
Virginia MEDICAID Q006137

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