# BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Valdese Medical Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043618523
- **Authorized official:** PATRICIA MOLL (SVP-CFO)
- **Authorized official phone:** (828) 580-5003

## Contact information

- **Practice address:** 730 MALCOLM BLVD STE 150, CONNELLY SPRINGS, NC 28612-8079
- **Practice address phone:** (828) 874-4600
- **Practice address fax:** (828) 874-8900
- **Mailing address:** 730 MALCOLM BLVD STE 150, CONNELLY SPRINGS, NC 28612-8079
- **Mailing address phone:** (828) 874-4600
- **Mailing address fax:** (828) 874-8900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/15/2014
- **Last updated:** 03/14/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1043618523 | MEDICAID GROUP ID | NC |