Ballad Health Medical Associates

LBN: Blue Ridge Medical Managgement Corporation
Ballad Health Medical Associates is an health care organization with primary practice located at 4600 Fort Henry Dr , Kingsport TN 37663. The organization recently has only one registered license in Ambulatory Health Care Facilities / Urgent Care, which is considered as the primary health care specialty. Blue Ridge Medical Managgement Corporation can be contacted via phone (423) 224-3950, or through Kilgore, Carl S via phone (423) 302-3051.

Contact Information

Primary practice address
4600 Fort Henry Dr Kingsport TN 37663
Phone: (423) 224-3950
Fax: (423) 224-3959
Website:
Map and Directions
Authorized official contact:
Name: Kilgore, Carl S
Phone: (423) 302-3051

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Urgent Care 261QU0200X

Profile Details

NPI number 1649518309
LBN Legal business name Blue Ridge Medical Managgement Corporation
DBA Doing business as Ballad Health Medical Associates
Authorized official Kilgore, Carl S
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2013
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649518309 NPPES
Tennessee MEDICAID 1532903
Tennessee Other CA5744
Tennessee MEDICAID 1649518309

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