# BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC
- **Other names:** McDowell Medical Associates, PA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1194780411
- **Legal business name:** BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC
- **Authorized official:** MR. ROBERT FRITTS (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (828) 580-5000

## Contact information

- **Practice address:** 1860 SUGAR HILL RD, MARION, NC 28752-5565
- **Practice address phone:** (828) 652-8727
- **Practice address fax:** (828) 652-8793
- **Mailing address:** 1860 SUGAR HILL RD, MARION, NC 28752-5565
- **Mailing address phone:** (828) 652-8727
- **Mailing address fax:** (828) 652-8793

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 40576 | NC | Yes |
| 208000000X | Pediatrics Physician | 40576 | NC | — |

## Other

- **Enumeration date:** 04/19/2006
- **Last updated:** 09/27/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 023T1 | BCBSNC | NC |
| 01 | — | 34D0699936 | CLIA \# | NC |
| 01 | — | 34D0947561 | CLIA | NC |
| 05 | — | 5915267 | — | NC |
| 05 | — | 690168L | — | NC |