Blue Ridge Podiatry Associates

LBN: Blue Ridge Podiatry Associates
Blue Ridge Podiatry Associates is an health care organization with primary practice located at 390 S Main St Ste 103 , Rocky Mount VA 24151-1767. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty. Blue Ridge Podiatry Associates can be contacted via phone (540) 483-7933, or through Clements, John Larry via phone (540) 885-8891.

Contact Information

Primary practice address
390 S Main St Ste 103 Rocky Mount VA 24151-1767
Phone: (540) 483-7933
Fax: (540) 463-9454
Website:
Map and Directions
Authorized official contact:
Name: Clements, John Larry Doctor of Podiatric Medicine (DPM)
Phone: (540) 885-8891

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 0103000391 Virginia
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 0103000371 Virginia
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 0103300877 Virginia

Profile Details

NPI number 1952390221
LBN Legal business name Blue Ridge Podiatry Associates
DBA Doing business as
Authorized official Clements, John Larry Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2005
Last updated Nov 22nd, 2010 - about 14 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 1952390221 NPPES
Virginia MEDICAID 009301283
Virginia MEDICAID 009301208
Virginia Other 0518620002
Virginia Other 0518620001
Virginia Other CM9184
Virginia MEDICAID 009301747

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