Ballad Health Medical Associates

LBN: Blue Ridge Medical Management Corporation
Ballad Health Medical Associates is an health care organization with primary practice located at 410 N State Of Franklin Rd Suite 135B, Johnson City TN 37604. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as the primary health care specialty. Blue Ridge Medical Management Corporation can be contacted via phone (423) 431-4866, or through Kilgore, Carl Steven via phone (423) 302-3051.

Contact Information

Primary practice address
410 N State Of Franklin Rd Suite 135B Johnson City TN 37604
Phone: (423) 431-4866
Fax: (423) 431-2372
Website:
Map and Directions
Authorized official contact:
Name: Kilgore, Carl Steven
Phone: (423) 302-3051

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X

Profile Details

NPI number 1043688385
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 Sep 3rd, 2015
Last updated Mar 28th, 2019 - about 7 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 1043688385 NPPES
Tennessee Other 622480000 DEPARTMENT OF LABOR
Tennessee Other CA5744 DEPARTMENT OF LABOR
Tennessee MEDICAID 1043688385 DEPARTMENT OF LABOR
Tennessee MEDICAID Q014763 DEPARTMENT OF LABOR

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