Ballad Health Medical Associates
LBN: Blue Ridge Medical Management Corporation
Ballad Health Medical Associates is an health care organization with primary practice located at 200 Med Tech Pkwy Suite 108, Johnson City TN 37604-2278. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Urgent Care, Ambulatory Health Care Facilities / Occupational Medicine. Ambulatory Health Care Facilities / Occupational Medicine is the primary health care specialty.
Blue Ridge Medical Management Corporation can be contacted via phone (423) 915-5033, or through Kilgore, Carl Steven via phone (423) 302-3051.
Contact Information
Primary practice address
200 Med Tech Pkwy Suite 108
Johnson City TN 37604-2278
Phone: (423) 915-5033
Fax: (423) 915-5179
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Urgent Care | 261QU0200X | Tennessee | |
| Ambulatory Health Care Facilities / Occupational Medicine | 261QX0100X |
Profile Details
| NPI number | 1942520267 |
|---|---|
| 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 9th, 2010 |
| Last updated | Mar 29th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942520267 | NPPES |
| Tennessee | MEDICAID | Q017164 |
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