BLUE RIDGE REGIONAL HOSPITAL, INC. (NPI# 1992186092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992186092 |
| Entity Type | Organization |
| Organization Name | BLUE RIDGE REGIONAL HOSPITAL, INC. |
| Other Organization Name | MISSION COMMUNITY OBSTETRICS AND GYNECOLOGY SPECIALIST |
| Practice Address |
125 Hospital Dr Spruce Pine NC 28777-3035 |
| Mailing Address |
Po Box 602373 Charlotte NC 28260-2373 |
| Practice Telephone | 8287663001 |
| Practice Fax Number | 8287663787 |
| Mailing Telephone | 8282131500 |
| Mailing Fax Number | 8286516570 |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2017-01-05 |
| Authorized Official Name | MR. CLINT STEWART (REGIONAL DIRECTOR) |
| Authorized Official Telephone | 8287663010 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Mission Community Obstetrics and Gynecology Specialist | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447707492 | Blue Ridge Regional Hospital, Inc. | Internal Medicine | 125 Hospital Dr, Spruce Pine, NC 28777-3035 | 2016-09-07 |
| 1063838712 | Blue Ridge Regional Hospital, Inc. | Surgery | 800 Medical Campus Dr, Burnsville, NC 28714-9010 | 2014-03-05 |
| 1538584875 | Blue Ridge Regional Hospital, Inc. | Emergency Medicine | 125 Hospital Dr, Spruce Pine, NC 28777-3035 | 2014-02-24 |
| 1699918870 | Blue Ridge Regional Hospital, Inc. | Anesthesiology | 189 Hospital Dr, Spruce Pine, NC 28777-3035 | 2009-04-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BLUE RIDGE REGIONAL HOSPITAL, INC. | 125 Hospital Dr, Spruce Pine, NC 28777-3035 |
| Street Address |
125 HOSPITAL DR |
| City | SPRUCE PINE |
| State | NC |
| Zip Code | 28777-3035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881204048 | Kaitlyn Hobbs | Speech-Language Pathologist | 125 Hospital Dr, Spruce Pine, NC 28777-3035 | 2020-08-03 |
| 1790252856 | Mh Blue Ridge Medical Center, Lllp | Medicare Defined Swing Bed Unit | 125 Hospital Dr, Spruce Pine, NC 28777-3035 | 2018-10-26 |
| 1578048294 | Mh Blue Ridge Medical Center, Lllp | General Acute Care Hospital | 125 Hospital Dr, Spruce Pine, NC 28777-3035 | 2018-09-27 |
| 1184133100 | Blue Ridge Regional Hospital, Inc | Emergency Medicine | 125 Hospital Dr, Spruce Pine, NC 28777-3035 | 2017-09-21 |
| 1386181006 | Mission Medical Associates, Inc. | Emergency Medicine | 125 Hospital Dr, Spruce Pine, NC 28777-3035 | 2017-01-20 |
| 1447707492 | Blue Ridge Regional Hospital, Inc. | Internal Medicine | 125 Hospital Dr, Spruce Pine, NC 28777-3035 | 2016-09-07 |
| 1093160582 | Timothy Scott Holcomb | Physician Assistant | 125 Hospital Dr, Blue Ridge Regional Hospital, Spruce Pine, NC 28777-3035 | 2016-05-03 |
| 1316323777 | Edward Jay Kauffman | Nurse Practitioner | 125 Hospital Dr, Spruce Pine, NC 28777-3035 | 2015-08-07 |
| 1467847160 | Stephen Kimmel | Family Medicine | 125 Hospital Dr, Spruce Pine, NC 28777-3035 | 2015-03-31 |
| 1457754566 | Sonia Ferrandiz | Nurse Practitioner | 125 Hospital Dr, Spruce Pine, NC 28777-3035 | 2014-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013405265 | Spruce Pine Chiropractic, Pllc | Clinic/Center | 31 Cross Street, Suite 266, Spruce Pine, NC 28777 | 2018-04-24 |
| 1326463316 | Susan Lynn Lamont | Counselor | 2206 Carters Ridge Rd, Spruce Pine, NC 28777 | 2014-02-27 |
| 1548521115 | Mitchell House One, LLC | Assisted Living Facility | 13681 Hwy 226 South, Spruce Pine, NC 28777 | 2012-05-31 |
| 1245590025 | Lisa Wade Thomas | Hearing Instrument Specialist | 11887 S. P. Shopping Ctr, Spruce Pine, NC 28777 | 2012-05-25 |
| 1972860021 | Laura Lee Freeman | Psychologist | 545 Amity Park Rd., Mt. View Correctional Institute, Spruce Pine, NC 28777 | 2012-04-13 |
| 1326272824 | Brie Michele Folkner | Family Medicine | 537 Altapass Hwy Ste C, Spruce Pine, NC 28777 | 2009-05-12 |
| 1093901290 | Patricia Susan Noser | Nurse Practitioner | 12348 South 226 Highway, Spruce Pine, NC 28777 | 2007-09-20 |
| 1194943092 | Blue Ridge General Surgery, PC | Surgery | 8017 Nineteen E Highway, Spruce Pine, NC 28777 | 2007-04-23 |
| 1528186277 | Bruce Dennis Crawford | Dentist | 600 Amity Park Rd, Dental-avery Mitchell Correctional Institution, Spruce Pine, NC 28777 | 2007-03-27 |
| 1134284755 | Freedom Memorial In-home Monitoring | Durable Medical Equipment & Medical Supplies | 1422 Roan Road, Spruce Pine, NC 28777 | 2006-12-26 |
| Find all providers in zip 28777 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689209553 | Murphy Medical Center Inc | Clinic/Center | 125 Medical Park Ln Ste H, Murphy, NC 28906-6921 | 2020-03-11 |
| 1528623725 | Cynthia Mcarthur-kearney | Clinic/Center | 531 Hillsboro St, Fayetteville, NC 28301-4634 | 2019-05-03 |
| 1528559671 | Bladen Healthcare LLC | Clinic/Center | 273 White Lake Dr, White Lake, NC 28337 | 2018-05-24 |
| 1043759335 | Bladen Healthcare LLC | Clinic/Center | 88 E Green St., Clarkton, NC 28433-5002 | 2017-02-20 |
| 1114269677 | Bladen Healthcare LLC | Clinic/Center | 107e Dunham St, Elizabethtown, NC 28337-9037 | 2013-03-22 |
| 1699062802 | Cah Acquisition Company 1 LLC | Clinic/Center | 9500 Nc Highway 94 North, Creswell, NC 27928-8808 | 2011-07-08 |
| 1912294687 | Pioneer Health Services of Stokes County, Inc. | Clinic/Center | 1020 Hospice Drive, Danbury, NC 27016-0000 | 2011-07-01 |
| 1578858247 | Warren Community Health Clinic Inc. | Clinic/Center | 546 W Ridgeway St, Warrenton, NC 27589-1716 | 2011-06-10 |
| 1427282045 | Southeastern Regional Physician Services | Clinic/Center | 2002 N Cedar St Ste B, Lumberton, NC 28358-3926 | 2009-05-11 |
| 1578702189 | Appalachian Healthcare, Inc. | Clinic/Center | 9330 Highway 194, Lansing, NC 28643-0184 | 2009-02-05 |
| Find all providers with the same taxonomy | ||||
| City | SPRUCE PINE |
| Zip Code | 28777 |
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| 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.