| Blue Ridge Medical Managment Corporation | |
|
58 Carroll St Room 2037 Lebanon VA 24266 | |
| (276) 883-8062 | |
| (276) 883-8064 |
| Full Name | Blue Ridge Medical Managment Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 58 Carroll St, Lebanon, Virginia |
| Authorized Official Name and Position | Carl Steven 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 Managment Corporation 58 Carroll St Room 2037 Lebanon VA 24266 Ph: (276) 883-8062 | Blue Ridge Medical Managment Corporation 58 Carroll St Room 2037 Lebanon VA 24266 Ph: (276) 883-8062 |
| NPI Number | 1073990248 |
|---|---|
| Provider Enumeration Date | 04/27/2015 |
| Last Update Date | 03/28/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073990248 | NPI | - | NPPES |
| 623221900 | Other | VA | DEPARTMENT OF LABOR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Family Health Care Associates Of Swva.,pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 143 W Main St, Lebanon, VA 24266 Phone: 276-889-2394 Fax: 276-889-4716 | |
C-health Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 495 East Main Street, Lebanon, VA 24266 Phone: 276-889-3700 Fax: 276-889-5505 | |
Merit Medical Rhc Lebanon Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 360 West Main Street, Lebanon, VA 24266 Phone: 276-889-0035 Fax: 276-889-2044 | |
Mountain States Health Alliance Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 344 Overlook Dr Ste 100, Lebanon, VA 24266 Phone: 276-883-8042 Fax: 276-883-8044 | |
Mountain States Health Alliance Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 58 Carroll St Suite 3, Dept Of Russell County Medical Center, Lebanon, VA 24266 Phone: 276-883-8340 Fax: 276-883-8341 | |
Wellmont Medical Associates, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 344 Overlook Dr, Lebanon, VA 24266 Phone: 276-883-5900 Fax: 276-883-5899 |