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Contact Information

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
HEALTH LINK OF ROGERSVILLE
900 WEST MAIN STREET
ROGERSVILLE, TN37857
 Phone: 423-272-0542
 Fax: 423-272-0544
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

NPI Number 1194754234
LBN Legal business name BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Authorized official C KILGORE - (SENIOR VICE PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/01/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
TN Medicaid 3719385
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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