# BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hildebran-Icard Medical Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891883989
- **Authorized official:** ROBERT FRITTS (SVP/CFO)
- **Authorized official phone:** (828) 580-5455

## Contact information

- **Practice address:** 517 MAIN AVE. WEST, HILDEBRAN, NC 28637
- **Practice address phone:** (828) 397-5561
- **Practice address fax:** (828) 397-3226
- **Mailing address:** 517 MAIN AVE. WEST, HILDEBRAN, NC 28637
- **Mailing address phone:** (828) 397-5561
- **Mailing address fax:** (828) 397-3226

## Taxonomy

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

## Other

- **Enumeration date:** 10/11/2006
- **Last updated:** 03/05/2008