DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

MEDICARE: BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134139017
Entity Type Code : Organization
Provider Name (Legal Business Name) : BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Provider Business Mailing Address
First Line : 900 W. MAIN STREET
Second Line : HEALTH LINK OF ROGERSVILLE
City : ROGERSVILLE
State : TN
Zip : 37657
Country : US
Telephone Number : 423-272-0542
Fax Number : 423-272-0544
Provider Business Practice Location Address
First Line : 900 W MAIN ST
Second Line : HEALTH LINK OF ROGERSVILLE
City : ROGERSVILLE
State : TN
Zip : 37857-2448
Country : US
Telephone Number : 423-272-0542
Fax Number : 423-272-0544
Authorized Official
Title or Position : SENIOR VICE PRESIDENT
Name : C STEVEN KILGORE
Credential :
Telephone Number : 423-915-9185
Provider Enumeration Date : 08/09/2006
Last Update Date : 08/22/2020

Similar Medicare Providers

1366149809 — LOGAN HARRIS PT, DPT
Practice Location Address:
900 W MAIN ST
ROGERSVILLE, TN
37857-2448
Practice Phone: 423-500-5600
Practice Fax: 423-317-7773
1154321966 — RURAL HEALTH SERVICES CONSORTIUM OF UPPER EAST TENNESSEE INC
Practice Location Address:
900 W MAIN ST
ROGERSVILLE, TN
37857-2448
Practice Phone: 423-272-5202
Practice Fax: 423-272-4696
1043294515 — JEREMY COOK P.T.
Practice Location Address:
900 W MAIN ST
ROGERSVILLE, TN
37857-2448
Practice Phone: 423-500-5600
Practice Fax: 423-317-7773
1710963061 — MRS. CECILIA A VERZOSA PT
Practice Location Address:
900 W MAIN ST
ROGERSVILLE, TN
37857-2448
Practice Phone: 423-500-5600
Practice Fax: 423-317-7773
1861585218 — MED CENTER PHARMACY LLC
Practice Location Address:
900 W MAIN ST
ROGERSVILLE, TN
37857-2448
Practice Phone: 423-272-8104
Practice Fax: 423-272-0282
1902437478 — ETTA RENEE RICH
Practice Location Address:
900 W MAIN ST
ROGERSVILLE, TN
37857-2448
Practice Phone: 423-500-5600
Practice Fax: 423-317-7773

Directions to “BLUE RIDGE MEDICAL MANAGEMENT CORPORATION ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.