Organization
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Active
Other names
Ballad Health Medical Associates, MSMG HIMA IPMC, BHMA Hospitalists IPCH
Organization subpart
No
Provider details
NPI number
Authorized official
CARL STEVEN KILGORE (PRESIDENT)
(423) 302-3051
Entity
Organization
Contact information
Practice address
2000 BROOKSIDE DR, 3RD FLOOR, KINGSPORT, TN 37660-4627
(423) 857-5905
(423) 857-5904
Mailing address
2000 BROOKSIDE DR, 3RD FLOOR, KINGSPORT, TN 37660-4627
(423) 857-5905
(423) 857-5904
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
TN
363L00000X
Nurse Practitioner
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020487805
DEPARTMENT OF LABOR
TN
05
—
1326086224
—
VA
05
—
3734243
—
TN
01
—
4344809
BLUECARE
TN
05
—
5912640
—
NC
05
—
7100031020
—
KY
05
—
7100115300
—
KY
01
—
CA5744
RR MEDICARE
TN
Enumeration date
06/03/2006
Last updated
03/29/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us