# BLUE RIDGE REGIONAL HOSPITAL, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BLUE RIDGE REGIONAL HOSPITAL, INC.
- **Other names:** Mission Pain Management
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1699918870
- **Legal business name:** BLUE RIDGE REGIONAL HOSPITAL, INC.
- **Authorized official:** RHONDA A MILLER (VICE PRESIDENT-REVENUE CYCLE)
- **Authorized official phone:** (828) 651-5144

## Contact information

- **Practice address:** 189 HOSPITAL DR, SPRUCE PINE, NC 28777-3035
- **Practice address phone:** (828) 766-3555
- **Practice address fax:** (828) 766-3008
- **Mailing address:** PO BOX 602373, CHARLOTTE, NC 28260-2373
- **Mailing address phone:** (828) 213-1500
- **Mailing address fax:** (828) 651-6570

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NC | — |
| 207L00000X | Anesthesiology Physician | — | NC | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NC | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NC | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NC | — |
| 208VP0000X | Pain Medicine Physician | — | NC | Yes |
| 208VP0014X | Interventional Pain Medicine Physician | — | NC | — |
| 363A00000X | Physician Assistant | — | NC | — |
| 363L00000X | Nurse Practitioner | — | NC | — |

## Other

- **Enumeration date:** 04/17/2009
- **Last updated:** 04/28/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 021RF | BCBS | NC |
| 01 | — | DT7187 | RAILROAD MEDICARE | NC |