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Contact Information

BLUE RIDGE MEDICAL MANAGEMENT C ORPORATION
2030 TEMPLE HILL RD
ERWIN, TN37650-8721
 Phone: 423-230-8367
 Fax: 423-610-3430
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for BLUE RIDGE MEDICAL MANAGEMENT C ORPORATION

NPI Number 1508592189
LBN Legal business name BLUE RIDGE MEDICAL MANAGEMENT C ORPORATION
Authorized official PATRICIA TARTE - (ENROLLMENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/27/2022
Last updated 07/27/2022 - About 4 years ago
Identifiers n/a
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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