BLUE RIDGE REGIONAL HOSPITAL INC NPI 1629089776

NPI Information

NPI: 1629089776
Provider Name: BLUE RIDGE REGIONAL HOSPITAL, INC

Doing Business As: MISSION COMMUNITY PRIMARY CARE

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
11728 S 226 HWY
SPRUCE PINE, NC
ZIP 28777
Phone: (828) 765-5672
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BLUE RIDGE REGIONAL HOSPITAL, INC is a rural health clinic center in Spruce Pine, NC. BLUE RIDGE REGIONAL HOSPITAL, INC NPI is 1629089776. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mission Community Primary Care.

The provider's business location address is:

11728 S 226 HWY
SPRUCE PINE, NC
ZIP 28777-954
Phone: (828) 765-5672
Fax: (828) 765-5676

The provider's authorized official is Clint Stewart .
The authorized official title is Regional Director and has the following contact phone number (828) 659-5196.

The enumeration date for this NPI number is 8/11/2006 and was last updated on 12/5/2016.

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 State	Primary
1	207Q00000X	Family Medicine		NORTH CAROLINA	No
2	207R00000X	Internal Medicine		NORTH CAROLINA	No
3	208000000X	Pediatrics		NORTH CAROLINA	No
4	261QR1300X	Clinic/Center	Rural Health		Yes
5	363A00000X	Physician Assistant		NORTH CAROLINA	No
6	363L00000X	Nurse Practitioner			No
7	363LF0000X	Nurse Practitioner	Family	NORTH CAROLINA	No

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	235013D	MEDICARE PIN	NORTH CAROLINA
2	343426	MEDICAID	NORTH CAROLINA
3	343426	MEDICARE OSCAR/CERTIFICATION	NORTH CAROLINA
4	018NU	OTHER	NORTH CAROLINA	BCBS NC

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

NPI Synchronization or Removal

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