BLUE RIDGE LONG TERM CARE MEDICINE – NPI #1861743007
Family Medicine

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

BLUE RIDGE LONG TERM CARE MEDICINE is a provider located in MORGANTON, NC. NPPES has assigned the NPI number 1861743007 to BLUE RIDGE LONG TERM CARE MEDICINE on September 27, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BLUE RIDGE LONG TERM CARE MEDICINE” is a dba name, the actual legal business name for this organization is BLUE RIDGE HEALTHCARE MEDICAL GROUP INC. The primary taxonomy selected by this provider is 207QG0300X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Geriatric Medicine

The NPI profile was previously updated about 13 years ago on Jun 19, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BLUE RIDGE LONG TERM CARE MEDICINE below.

NPI Profile for
BLUE RIDGE HEALTHCARE MEDICAL GROUP INC

NPI Number
1861743007
Enumeration Date

(more than 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BLUE RIDGE HEALTHCARE MEDICAL GROUP INC
Doing Business As (dba): BLUE RIDGE LONG TERM CARE MEDICINE
Primary location
2201 S STERLING ST
MORGANTON, NC 28655-4044
Phone: (828) 580-5000 Fax:
Mailing address
103 MEDICAL HEIGHTS DR
MORGANTON, NC 28655-5197
Phone: Fax:
Organization Subpart
No
Authorized Official
ROBERT FRITTS
SVP/CFO
Phone: (828) 580-5000
Updated
Identifiers

Identifiers for BLUE RIDGE LONG TERM CARE MEDICINE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERCOLLEGE PINES MEDICAIDNC5921614
OTHERGRACE HEIGHTS MEDICAIDNC5921615
OTHERGRACE RIDGE MEDICAIDNC5921616
OTHERMEDICARE PTANNC2327875
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QG0300X
- Family Medicine / Geriatric Medicine (Primary)
NC 28077

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.