BLUE RIDGE MEDICAL MANAGEMENT C ORPORATION (NPI# 1861013864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861013864 |
| Entity Type | Organization |
| Organization Name | BLUE RIDGE MEDICAL MANAGEMENT C ORPORATION |
| Practice Address |
403 Princeton Rd Ste 10 Johnson City TN 37601-2062 |
| Mailing Address |
509 Med Tech Pkwy Ste 100 Johnson City TN 37604-2579 |
| Practice Telephone | 4234317340 |
| Practice Fax Number | 4234317345 |
| Mailing Telephone | 4239522111 |
| Mailing Fax Number | 4239522175 |
| Enumeration Date | 2020-04-30 |
| Last Update Date | 2020-04-30 |
| Authorized Official Name | MARVIN EICHORN (EXC VP) |
| Authorized Official Telephone | 4233023272 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| BHMA Employee Health Center-Johnson City | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184926719 | Blue Ridge Medical Management C Orporation | Internal Medicine | 1497 W Elk Ave, Suite 20, Elizabethton, TN 37643-2874 | 2010-12-02 |
| Street Address |
403 PRINCETON RD STE 10 |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37601-2062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396381992 | Juan Carlos Simon Villegas Gomez | Specialist/Technologist | 1081 John Robert Bell Dr, Johnson City, TN 37601 | 2019-11-19 |
| 1629537279 | Jaima Suzanne Price | Hearing Instrument Specialist | 106 E Watauga Avenue, Johnson City, TN 37601 | 2019-03-13 |
| 1275004467 | Brittany Howell | Speech-Language Pathologist | 2114 E. Fairview Ave, Johnson City, TN 37601 | 2018-12-16 |
| 1194229948 | Heather Chantel Lester | Physical Therapist | 2114 E. Fairview Avenue, Johnson City, TN 37601 | 2018-03-19 |
| 1477061869 | Patrick Conway Reynolds | Specialist/Technologist | 1081 John Robert Bell Drive, Johnson City, TN 37601 | 2018-01-19 |
| 1790201135 | Surgical Services of East Tennessee PC | Surgery | 300 East Main St., Suite 301, Johnson City, TN 37601 | 2017-08-17 |
| 1073065694 | Davina Leah Reppond | Home Health | 1204 E Myrtle Ave, Johnsoncity, TN 37601 | 2016-10-31 |
| 1003365503 | Wendi Y Minutolo | Behavioral Analyst | 403 Princeton Rd Ste 3, Johnson City, TN 37601 | 2016-09-25 |
| 1306208798 | Rachel Anne Anderson | Nurse Practitioner | 1118 East Holston Avenue, Johnson City, TN 37601 | 2016-03-24 |
| 1932560976 | Kaydee Louise Davidson | Occupational Therapist | 3209 Bristol Highway, Johnson City, TN 37601 | 2016-03-18 |
| Find all providers in zip 37601 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457585770 | Brian Hofung, Md, Pllc | Clinic/Center | 602 N Roan St, Suite #2, Johnson City, TN 37601-4763 | 2009-05-14 |
| 1861525578 | Carpathian Dental Assoc | Clinic/Center | 515 Columbia Drive, Johnson City, NY 13790 | 2007-03-13 |
| 1013972801 | United Medical Associates PC | Clinic/Center | 346 Grand Avenue, United Medical Associates PC, Johnson City, NY 13790 | 2006-04-18 |
| 1134681000 | Sofha Acute Care Clinic LLC | Clinic/Center | 2528 Wesley St Ste 2, Johnson City, TN 37601-1766 | 2019-04-01 |
| 1750733457 | Karing Hearts Cardiology | Clinic/Center | 701 N State of Franklin Rd, Ste 2, Johnson City, TN 37604-3645 | 2016-07-06 |
| 1093169443 | Evidence Based Addiction Medicine | Clinic/Center | 205 High Point Dr, Johnson City, TN 37601-1503 | 2016-04-21 |
| 1154613511 | Appalchain Skin and Lasar Dba Ageless Skin and Laser | Clinic/Center | 303 Med Tech Pkwy, Suite 110, Johnson City, TN 37604-2364 | 2011-05-04 |
| 1962617126 | Tlc The Laser Center (tri-cities) Inc | Clinic/Center | 1019 W Oakland Ave, Ste. 2, Johnson City, TN 37604-2357 | 2007-05-11 |
| 1326111873 | Physical Therapy Services, P.a. | Clinic/Center | 401 E Main St, Suite 5, Johnson City, TN 37601-4877 | 2006-11-15 |
| 1265549992 | James H. Quillen/vamc | Clinic/Center | Corner of Sidney and Lamont, Johnson City, TN 37684 | 2006-08-25 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37601 |
Please comment or provide details below to improve the information on BLUE RIDGE MEDICAL MANAGEMENT C ORPORATION.
| 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.