Organization
BLUE RIDGE REGIONAL HOSPITAL, INC.
Active
Parent organization
BLUE RIDGE REGIONAL HOSPITAL, INC.
Other names
Mission Pain Management
Organization subpart
Yes
Provider details
NPI number
Legal business name
BLUE RIDGE REGIONAL HOSPITAL, INC.
Authorized official
RHONDA A MILLER (VICE PRESIDENT-REVENUE CYCLE)
(828) 651-5144
Entity
Organization
Contact information
Practice address
189 HOSPITAL DR, SPRUCE PINE, NC 28777-3035
(828) 766-3555
(828) 766-3008
Mailing address
PO BOX 602373, CHARLOTTE, NC 28260-2373
(828) 213-1500
(828) 651-6570
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
NC
207L00000X
Anesthesiology Physician
—
NC
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
NC
208100000X
Physical Medicine & Rehabilitation Physician
—
NC
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
NC
208VP0000X
Pain Medicine Physician
Primary
—
NC
208VP0014X
Interventional Pain Medicine Physician
—
NC
363A00000X
Physician Assistant
—
NC
363L00000X
Nurse Practitioner
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
021RF
BCBS
NC
01
—
DT7187
RAILROAD MEDICARE
NC
Enumeration date
04/17/2009
Last updated
04/28/2017
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