BLUE RIDGE MEDICAL MANAGEMENT CORPORATION NPI 1184003873

NPI Information

NPI: 1184003873
Provider Name: BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

Doing Business As: BALLAD HEALTH MEDICAL ASSOCIATES

Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
16000 JOHNSTON MEMORIAL DR
SUITE 312C
ABINGDON, VA
ZIP 24211
Phone: (276) 258-1985
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BLUE RIDGE MEDICAL MANAGEMENT CORPORATION is a nephrology internal medicine in Abingdon, VA. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. BLUE RIDGE MEDICAL MANAGEMENT CORPORATION NPI is 1184003873. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Ballad Health Medical Associates.

The provider's business location address is:

16000 JOHNSTON MEMORIAL DR
SUITE 312C
ABINGDON, VA
ZIP 24211-664
Phone: (276) 258-1985
Fax: (276) 258-1989

The provider's authorized official is Carl Steven Kilgore .
The authorized official title is President and has the following contact phone number (423) 302-3051.

The enumeration date for this NPI number is 5/27/2015 and was last updated on 3/28/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RN0300X	Internal Medicine	Nephrology			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	DF7910	OTHER	VIRGINIA	RR MEDICARE
2	1184003873	MEDICAID	VIRGINIA
3	622929000	OTHER	VIRGINIA	DEPARTMENT OF LABOR

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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