| Blue Ridge Immediate Care | |
|
2137 Lakeside Dr Lynchburg VA 24501-6803 | |
| (434) 385-4184 | |
| (434) 385-0381 |
| Full Name | Blue Ridge Immediate Care |
|---|---|
| Speciality | Family Medicine |
| Location | 2137 Lakeside Dr, Lynchburg, Virginia |
| Authorized Official Name and Position | Karen L Haynes (STAFF CREDENTIALING MANAGER) |
| Authorized Official Contact | 4343821139 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Ridge Immediate Care Po Box 2489 Forest VA 24551-6489 Ph: (434) 382-1139 | Blue Ridge Immediate Care 2137 Lakeside Dr Lynchburg VA 24501-6803 Ph: (434) 385-4184 |
| NPI Number | 1972680049 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 03/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972680049 | NPI | - | NPPES |
| 1528155892 | Other | VA | CVFP CORPORATE NPI |
| 1528155892 | Medicaid | VA | |
| CA2436 | Other | VA | MEDICARE RAILROAD |
| CO3658 | Other | VA | CVFP MCARE GROUP PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
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