BLUE RIDGE HEALTH CENTER INC (NPI# 1336311323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336311323 |
| Entity Type | Organization |
| Organization Name | BLUE RIDGE HEALTH CENTER INC |
| Other Organization Name | THE MOBILE UNIT |
| Practice Address |
4038 Thomas Nelson Hwy Arrington VA 22922-2302 |
| Practice Telephone | 4342634000 |
| Practice Fax Number | 4342634160 |
| Mailing Telephone | 4342634000 |
| Mailing Fax Number | 4342634160 |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2008-03-31 |
| Authorized Official Name | PEGGY WHITEHEAD (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4342634000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 007600178 | 05 |
| Other Name | Type Code |
|---|---|
| The Mobile Unit | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477163475 | Blue Ridge Health Center Inc | Clinic/Center | 181 Old Courthouse Rd, Appomattox, VA 24522-9853 | 2020-08-04 |
| 1326566993 | Blue Ridge Health Center Inc | Clinic/Center | 210 S Main Street, Amherst, VA 24521-2616 | 2017-09-05 |
| 1194277319 | Blue Ridge Health Center Inc | Clinic/Center | 71 Tanbark Plaza, Lovingston, VA 22949 | 2016-11-04 |
| 1962753145 | Blue Ridge Health Center Inc | Clinic/Center | 4038 Thomas Nelson Hwy, Arrington, VA 22922-2302 | 2012-09-27 |
| 1083675862 | Blue Ridge Health Center Inc | Pharmacy | 4038 Thomas Nelson Hwy, Arrington, VA 22922-2302 | 2006-03-31 |
| 1518945187 | Blue Ridge Health Center Inc | Clinic/Center | 4038 Thomas Nelson Hwy, Arrington, VA 22922-2302 | 2006-01-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | BLUE RIDGE HEALTH CENTER INC. | 4038 Thomas Nelson Hwy, Arrington, Virginia 22922 |
| Street Address |
4038 THOMAS NELSON HWY |
| City | ARRINGTON |
| State | VA |
| Zip Code | 22922-2302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073595666 | Rebecca B Young | Family Medicine | 4038 Thomas Nelson Hwy, Arrington, VA 22922-2302 | 2005-11-18 |
| 1013566223 | Melissa Bond | Nurse Practitioner | 4038 Thomas Nelson Hwy, Arrington, VA 22922-2302 | 2019-09-10 |
| 1114574100 | Kelley Marie Mayberry | Dentist | 4038 Thomas Nelson Hwy, Arrington, VA 22922-2302 | 2019-08-23 |
| 1104489111 | Michelle Rae Blair | Nurse Practitioner | 4038 Thomas Nelson Hwy, Arrington, VA 22922-2302 | 2019-04-16 |
| 1386121531 | Danielle Petrosky Free | Nurse Practitioner | 4038 Thomas Nelson Hwy, Arrington, VA 22922-2302 | 2018-07-20 |
| 1942795307 | Richard Dixon Sykes | Dentist | 4038 Thomas Nelson Hwy, Arrington, VA 22922-2302 | 2018-06-28 |
| 1538666912 | Kathryn Leslee Phillips | Dietitian, Registered | 4038 Thomas Nelson Hwy, Arrington, VA 22922-2302 | 2018-04-11 |
| 1770091787 | Marianne Teresa Russell | Family Medicine | 4038 Thomas Nelson Hwy, Arrington, VA 22922-2302 | 2018-01-12 |
| 1023565132 | Benjamin Elliott Nissley | Nurse Practitioner | 4038 Thomas Nelson Hwy, Arrington, VA 22922-2302 | 2016-09-07 |
| 1730559329 | Blue Ridge Medical Center | Pharmacy | 4038 Thomas Nelson Hwy, Arrington, VA 22922-2302 | 2015-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679580922 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 4038 Thomas Nelson Highway, Arrington, VA 22922 | 2006-08-01 |
| 1144389818 | Julie S Setliff | Pharmacist | 4038 Thomas Nelson Highway, Arrington, VA 22922 | 2006-12-08 |
| 1215915814 | Benjamin Timothy Brown | Family Medicine | 4038 Thomas Nelson Hwy., Blue Ridge Health Center, Inc., Arrington, VA 22922-2302 | 2006-01-04 |
| 1346755162 | April Aldridge | Speech-Language Pathologist | 5198 Thomas Nelson Hwy, Arrington, VA 22922-2637 | 2017-12-04 |
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962753145 | Blue Ridge Health Center Inc | Clinic/Center | 4038 Thomas Nelson Hwy, Arrington, VA 22922-2302 | 2012-09-27 |
| 1518945187 | Blue Ridge Health Center Inc | Clinic/Center | 4038 Thomas Nelson Hwy, Arrington, VA 22922-2302 | 2006-01-04 |
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| 1689122186 | Monroe County Health Center Board of Trustees | Clinic/Center | 25239 Craigs Creek Rd, New Castle, VA 24127-6223 | 2016-09-14 |
| 1962950584 | Vernon J Harris East End Community Health Center | Clinic/Center | 1800 Lynhaven Ave, Richmond, VA 23224-7734 | 2016-09-12 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.