BLUERIDGE HEALTHCARE SURGERY CENTER, LLC (NPI# 1740848662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740848662 |
| Entity Type | Organization |
| Organization Name | BLUERIDGE HEALTHCARE SURGERY CENTER, LLC |
| Practice Address |
720 Malcolm Blvd Valdese NC 28690 |
| Mailing Address |
Po Box 700 Valdese NC 28690-0700 |
| Practice Telephone | 8285807613 |
| Practice Fax Number | 8285807665 |
| Mailing Telephone | 8285807613 |
| Mailing Fax Number | 8285807665 |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2019-06-05 |
| Authorized Official Name | MR. ROBERT FRITTS (CFO/SVP) |
| Authorized Official Telephone | 8285804220 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
720 MALCOLM BLVD |
| City | VALDESE |
| State | NC |
| Zip Code | 28690 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144644832 | Chimiak Medical Solutions, Pllc | Anesthesiology | 720 Malcolm Blvd, Valdese, NC 28690-2872 | 2014-02-14 |
| 1497098933 | Mildred T. Gibbs | Dietitian, Registered | 720 Malcolm Blvd, Valdese, NC 28690-2872 | 2013-04-03 |
| 1972868503 | Amy P Tillison | Physician Assistant | 720 Malcolm Blvd, Valdese, NC 28690-2872 | 2012-07-10 |
| 1669773404 | Caroline Kaye Lynn | Nurse Practitioner | 720 Malcolm Blvd, Valdese, NC 28690-2872 | 2010-11-10 |
| 1598941304 | Blue Ridge Healthcare Medical Group, Inc. | Specialist | 720 Malcolm Blvd, Valdese, NC 28690-2872 | 2008-01-11 |
| 1962685040 | John C Betancourt Md Pllc | Family Medicine | 720 Malcolm Blvd, Suite 203, Valdese, NC 28690-2872 | 2007-12-11 |
| 1841331196 | Valdese General Hospital Inc. | Internal Medicine | 720 Malcolm Blvd, Valdese, NC 28690-0700 | 2007-02-09 |
| 1487707964 | Blue Ridge Healthcare Hospitals, Inc. | Internal Medicine | 720 Malcolm Blvd, Valdese, NC 28671 | 2007-01-19 |
| 1669541983 | Douglas John Thompson | Specialist | 720 Malcolm Blvd, Valdese, NC 28690-0000 | 2006-11-08 |
| 1306878442 | Blue Ridge Emergency Medical Associates LLC | Emergency Medicine | 720 Malcolm Blvd, Valdese, NC 28690 | 2006-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275047714 | Lisa Davis Joyner | Registered Nurse | 4366 Berry School Ave., Valdese, NC 28690 | 2017-11-20 |
| 1902259963 | Jennifer Burgess | Speech-Language Pathologist | 127 Main Street West, Valdese, NC 28690 | 2016-07-14 |
| 1972748044 | Valdese General Hospital, Inc. | Durable Medical Equipment & Medical Supplies | 201 St. Germain Ave S.w., Valdese, NC 28690 | 2008-12-03 |
| 1669667192 | Deatra La Verne Harbison | Pharmacist | 298 Perkins Ave, Valdese, NC 28690 | 2007-09-07 |
| 1124183454 | Cristy Dixon | Family Medicine | 2659 Us Hwy 70e, Valdese, NC 28690 | 2006-12-27 |
| 1629173836 | S & J Medical | Durable Medical Equipment & Medical Supplies | 132 Main St E, Valdese, NC 28690 | 2006-09-13 |
| 1316987043 | William Thomas Johanson | Family Medicine | 2659 Us Hwy 70 East, Valdese, NC 28690 | 2006-06-08 |
| 1851701627 | Modern Treatment Healthcare Services, Pllc | Clinic/Center | 400 Main St W Ste 9, Valdese, NC 28690 | 2014-05-02 |
| 1417243502 | Angela L. Anderson | Nurse Practitioner | 319 Springwood Dr Ne, Valdese, NC 28690 | 2011-06-27 |
| 1962711010 | Alexandria Estes Powell | Pharmacist | 298 Perkins Rd Se, Blue Ridge Long Term Care Pharmacy, Valdese, NC 28690 | 2010-10-06 |
| Find all providers in zip 28690 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342481 | Piedmont Asc LLC | Clinic/Center | 7819 National Service Rd Ste 404, Greensboro, NC 27409-9401 | 2020-10-02 |
| 1558983833 | Triad Center for Surgery, LLC | Clinic/Center | 180 Kimel Park Dr Ste 200, Winston Salem, NC 27103-6970 | 2020-05-10 |
| 1922639426 | Associated Health Services, Inc. | Clinic/Center | 5601 Arringdon Park Dr, Morrisville, NC 27560-5643 | 2020-02-03 |
| 1861038606 | Southern Surgical Outpatient Surgery Center, Pa | Clinic/Center | 2457 Emerald Place, Greenville, NC 27834 | 2019-11-26 |
| 1528521887 | Novant Health Clemmons Outpatient Surgery, LLC | Clinic/Center | 7210 Village Medical Circle, Suite # 235, Clemmons, NC 27012 | 2019-04-12 |
| 1437623626 | Prime Surgical Suites, LLC | Clinic/Center | 180 Riverbend Dr, Granite Falls, NC 28630 | 2019-01-22 |
| 1982178042 | Langtree Endoscopy Center, LLC | Clinic/Center | 106 Alexander Bank Drive, Suite 101, Mooresville, NC 28117 | 2019-01-11 |
| 1124594338 | Charlotte Surgery Center, LLC | Clinic/Center | 3621 Randolph Rd Ste 200, Charlotte, NC 28211-0027 | 2018-10-16 |
| 1750892659 | Novant Health Kernersville Outpatient Surgery LLC | Clinic/Center | 1730 Kernersville Medical Pkwy Ste 304, Kernersville, NC 27284-7198 | 2017-10-18 |
| 1821510579 | Novant Health Brunswick Endoscopy Center, LLC | Clinic/Center | 13 Medical Campus Dr, Suite 101, Supply, NC 28462 | 2017-07-14 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BLUERIDGE HEALTHCARE SURGERY CENTER, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.