# BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BRM NCSSM OUTREACH MORGANTON
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912769951
- **Authorized official:** PATRICIA MOLL (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (828) 580-5003

## Contact information

- **Practice address:** 901 BURKEMONT AVE, MORGANTON, NC 28655-4502
- **Practice address phone:** (828) 347-9181
- **Mailing address:** 901 BURKEMONT AVE, MORGANTON, NC 28655-4502
- **Mailing address phone:** (828) 347-9181

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261Q00000X | Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 01/25/2024
- **Last updated:** 03/12/2025