Organization
BLUE RIDGE REGIONAL HOSPITAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN A HOLLIFIELD (BILLING SUPERVISOR)
(828) 766-1701
Entity
Organization
Contact information
Practice address
125 HOSPITAL DR, SPRUCE PINE, NC 28777-3035
(828) 765-4201
Mailing address
125 HOSPITAL DR, SPRUCE PINE, NC 28777-3035
(828) 765-4201
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
H0169
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0081P
BCBS SWINGBED
NC
05
—
3450011
—
NC
Enumeration date
07/24/2006
Last updated
11/23/2010
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