Organization
BLUE RIDGE COMMUNITY HEALTH SERVICES, INC.
Active
Other names
Kate B Reynolds Children's Center
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA HARRIS (CHIEF FINANCIAL OFFICER)
(828) 692-4289
Entity
Organization
Contact information
Practice address
2579 CHIMNEY ROCK RD, HENDERSONVILLE, NC 28792-9181
(828) 692-7057
(828) 696-8266
Mailing address
PO BOX 5151, HENDERSONVILLE, NC 28793-5151
(828) 692-7057
(828) 696-8266
Taxonomy
Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
2080A0000X
Pediatric Adolescent Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0147G
BCBS
NC
05
—
344556A
—
NC
05
—
344556C
—
NC
05
—
344556D
—
NC
Enumeration date
11/10/2005
Last updated
10/25/2007
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