Organization
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Active
Organization
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Active
Other names
BHMA Behavioral Health Inpatient RCH, BHMA Behavioral Health Leb, Ballad Health Medical Associates, BHMA Behavioral Health Clearview, BHMA Behavioral Health EAP Lebanon
Organization subpart
No
Provider details
NPI number
Authorized official
CARL STEVEN KILGORE (PRESIDENT)
(423) 302-3051
Entity
Organization
Contact information
Practice address
71 S FLANNAGAN AVE, LEBANON, VA 24266
(276) 883-8042
(276) 883-8044
Mailing address
71 S FLANNAGAN AVE, LEBANON, VA 24266
(276) 883-8042
(276) 883-8044
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275701559
—
VA
01
—
600952284
MAGELLAN
VA
01
—
622377500
DEPARTMENT OF LABOR
VA
01
—
DF7910
RAILROAD MEDICARE
VA
Enumeration date
02/20/2008
Last updated
04/21/2025
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