Ballad Health Medical Associates

LBN: Blue Ridge Medical Management Corporation
Ballad Health Medical Associates is an health care organization with primary practice located at 1901 S Shady St Ste 1 , Mountain City TN 37683-2021. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty. Blue Ridge Medical Management Corporation can be contacted via phone (423) 727-6674, or through Kilgore, Carl S via phone (423) 302-3051.

Contact Information

Primary practice address
1901 S Shady St Ste 1 Mountain City TN 37683-2021
Phone: (423) 727-6674
Fax: (423) 727-1268
Website:
Map and Directions
Authorized official contact:
Name: Kilgore, Carl S
Phone: (423) 302-3051

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X

Profile Details

NPI number 1982013215
LBN Legal business name Blue Ridge Medical Management Corporation
DBA Doing business as Ballad Health Medical Associates
Authorized official Kilgore, Carl S
Entity Organization
Organization subpart 1 No
Enumeration date Aug 12th, 2014
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 1982013215 NPPES
Virginia MEDICAID 1982013215
Virginia MEDICAID Q009486

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