Organization
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Active
Other names
Regional Cancer Center at IPMC A
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL STEVEN KILGORE (PRESIDENT)
(423) 915-5116
Entity
Organization
Contact information
Practice address
2002 BROOKSIDE DR, SUITE 300A, KINGSPORT, TN 37660-4634
(423) 232-6900
(423) 232-6903
Mailing address
2002 BROOKSIDE DR, SUITE 300A, KINGSPORT, TN 37660-4634
(423) 232-6900
(423) 232-6903
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1516423
—
TN
Enumeration date
05/13/2013
Last updated
02/14/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up