Blue Ridge Physical Medicine

LBN: Blue Ridge Physical Medicine
Blue Ridge Physical Medicine is an health care organization with primary practice located at 4582 Franklin Rd Sw , Roanoke VA 24014-5144. The organization recently has only one registered license in Ambulatory Health Care Facilities / Pain, which is considered as the primary health care specialty. Blue Ridge Physical Medicine can be contacted via phone (540) 772-8052, or through Tanner, Rebecca W via phone (540) 772-8052.

Contact Information

Primary practice address
4582 Franklin Rd Sw Roanoke VA 24014-5144
Phone: (540) 772-8052
Fax: (540) 772-4508
Website:
Map and Directions
Authorized official contact:
Name: Tanner, Rebecca W
Phone: (540) 772-8052

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Pain 261QP3300X

Profile Details

NPI number 1710173679
LBN Legal business name Blue Ridge Physical Medicine
DBA Doing business as
Authorized official Tanner, Rebecca W
Entity Organization
Organization subpart 1 No
Enumeration date Sep 24th, 2007
Last updated Sep 24th, 2007 - about 17 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 1710173679 NPPES
Virginia MEDICAID 6801510

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