| Blue Ridge Medical Management Corporation | |
|
16000 Johnston Memorial Dr Suite 312 Abingdon VA 24211-7659 | |
| (276) 258-3733 | |
| (276) 258-3734 |
| Full Name | Blue Ridge Medical Management Corporation |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 16000 Johnston Memorial Dr, Abingdon, Virginia |
| Authorized Official Name and Position | Carl S Kilgore (PRESIDENT) |
| Authorized Official Contact | 4233023051 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Ridge Medical Management Corporation 16000 Johnston Memorial Dr Suite 312 Abingdon VA 24211-7659 Ph: (276) 258-3733 | Blue Ridge Medical Management Corporation 16000 Johnston Memorial Dr Suite 312 Abingdon VA 24211-7659 Ph: (276) 258-3733 |
| NPI Number | 1669793493 |
|---|---|
| Provider Enumeration Date | 06/16/2010 |
| Last Update Date | 03/29/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669793493 | NPI | - | NPPES |
| 1669793493 | Medicaid | VA | |
| 020487832 | Other | VA | DEPARTMENT OF LABOR/BLACK LUNG |
| 020487844 | Other | VA | DEPARTMENT OF LABOR/ENERGY & FECA |
| DF7910 | Other | VA | RAILROAD MEDICARE |
| 7100161550 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
Full Circle Therapy, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 190 E Main St, Abingdon, VA 24210 Phone: 276-738-4831 Fax: 844-444-0697 | |
Hope Over My Experiences Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 260 Pippin St Nw, Abingdon, VA 24210 Phone: 276-492-5556 | |
Doctors Office Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 609 E Main St, Abingdon, VA 24210 Phone: 276-525-8144 Fax: 276-258-5326 | |
Sw Va Psychological Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 361b Falls Dr Nw, Abingdon, VA 24210 Phone: 276-628-5752 Fax: 276-628-5190 | |
Kayla C. Loudy, Lcsw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 335 E Main St, Abingdon, VA 24210 Phone: 276-628-2510 | |
Kathleen P Baldwin Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 325 Cummings Street, Abingdon, VA 24210 Phone: 276-628-5300 Fax: 276-628-5351 | |
Johnston Memorial Hospital, Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 16000 Johnston Memorial Dr, Abingdon, VA 24211 Phone: 276-258-1000 Fax: 276-258-2805 |