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Contact Information

BLUE RIDGE MEDICAL MANAGMENT CORPORATION
58 CARROLL ST
ROOM 2037
LEBANON, VA24266
 Phone: 276-883-8062
 Fax: 276-883-8064
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for BLUE RIDGE MEDICAL MANAGMENT CORPORATION

NPI Number 1073990248
LBN Legal business name BLUE RIDGE MEDICAL MANAGMENT CORPORATION
Authorized official CARL KILGORE - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/27/2015
Last updated 03/28/2019 - About 7 years ago
Identifiers
VA Other 623221900 DEPARTMENT OF LABOR
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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