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Contact Information

BLUE RIDGE MEDICAL MANAGEMENT CORPOARTION
1901 S SHADY ST STE 2
MOUNTAIN CITY, TN37683-2021
 Phone: 423-547-7380
 Fax: 423-230-8367
 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 CORPOARTION

NPI # 1770203754
LBN Legal business name BLUE RIDGE MEDICAL MANAGEMENT CORPOARTION
Authorized official PATRICIA TARTE - (ENROLLMENT SUPERVISOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/31/2022
Last updated 08/31/2022 - 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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