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Contact Information

BLUE RIDGE HEALTHCARE MEDICAL GROUP INC
2201 S STERLING ST
MORGANTON, NC28655-4044
 Phone: 828-580-5000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for BLUE RIDGE HEALTHCARE MEDICAL GROUP INC

NPI # 1861743007
LBN Legal business name BLUE RIDGE HEALTHCARE MEDICAL GROUP INC
Authorized official ROBERT FRITTS - (SVP/CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 09/27/2012
Last updated 06/19/2013 - About 13 years ago
Identifiers
NC License # 28077
NC Other 5921614 COLLEGE PINES MEDICAID
NC Other 5921615 GRACE HEIGHTS MEDICAID
NC Other 5921616 GRACE RIDGE MEDICAID
NC Other 2327875 MEDICARE PTAN
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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