Organization
BLUE RIDGE HEALTHCARE MEDICAL GROUP INC
Active
Organization
BLUE RIDGE HEALTHCARE MEDICAL GROUP INC
Active
Other names
Blue Ridge Long Term Care Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT G FRITTS (SVP/CFO)
(828) 580-5000
Entity
Organization
Contact information
Practice address
2201 S STERLING ST, MORGANTON, NC 28655-4044
(828) 580-5000
Mailing address
103 MEDICAL HEIGHTS DR, MORGANTON, NC 28655-5197
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
28077
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2327875
MEDICARE PTAN
NC
01
—
5921614
COLLEGE PINES MEDICAID
NC
01
—
5921615
GRACE HEIGHTS MEDICAID
NC
01
—
5921616
GRACE RIDGE MEDICAID
NC
Enumeration date
09/27/2012
Last updated
06/19/2013
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