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General NPI Number Information
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NPI Number | 1124668868
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Entity Type | Organization
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Legal Business Name | BLUE RIDGE COMMUNITY HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 01/10/2020
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 264 HIGHWAY 19 S STE 4
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City | BRYSON CITY
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State | NC
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Zip | 28713-1134
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Country | US
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Telephone | 828-341-1060
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Fax | 828-341-1804
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Provider Business Mailing Address
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Address Line | 220 5TH AVE E
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City | HENDERSONVILLE
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State | NC
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Zip | 28792-4377
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Country | US
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Telephone | 828-692-4289
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | TAMMY R GREENWELL
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Credential |
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Telephone | 828-233-2284
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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