# BLUE RIDGE REGIONAL HOSPITAL INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679570840
- **Authorized official:** MR. JONATHAN CARL SMITH (CFO)
- **Authorized official phone:** (828) 766-1740

## Contact information

- **Practice address:** 125 HOSPITAL DR, SPRUCE PINE, NC 28777-3035
- **Practice address phone:** (828) 765-4201
- **Practice address fax:** (828) 765-0824
- **Mailing address:** PO BOX 9, SPRUCE PINE, NC 28777-0009
- **Mailing address phone:** (828) 765-4201
- **Mailing address fax:** (828) 765-0824

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | — | NULL | — |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 282NR1301X | Rural Acute Care Hospital | H0169 | NC | Yes |

## Other

- **Enumeration date:** 07/04/2005
- **Last updated:** 04/10/2009
