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Contact Information

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
2030 TEMPLE HILL RD
ERWIN, TN37650-8721
 Phone: 423-735-4700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Wound Care

163WW0000X
 

Undersea and Hyperbaric Medicine

2083P0011X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

NPI Number 1467105171
LBN Legal business name BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Authorized official CARL KILGORE - (VP)
Entity Organization
Organization subpart 1 No
Enumeration date 02/02/2022
Last updated 04/22/2025 - More than a year 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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