BLUE RIDGE REGIONAL HOSPITAL, INC


Address: 189 Hospital Dr, Spruce Pine, NC 28777-3035
Phone: 8287663555

BLUE RIDGE REGIONAL HOSPITAL, INC (NPI# 1790760213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790760213
Entity Type Organization
Organization Name BLUE RIDGE REGIONAL HOSPITAL, INC
Other Organization Name MISSION HEALTH MAUZY-PHILLIPS CENTER
Practice Address 189 Hospital Dr
Spruce Pine
NC 28777-3035
Mailing Address Po Box 602373
Charlotte
NC 28260-2373
Practice Telephone 8287663555
Mailing Telephone 8282131500
Mailing Fax Number 8286811575
Enumeration Date 2005-12-07
Last Update Date 2018-11-19
Authorized Official Name CLINT STEWART (REGIONAL DIRECTOR)
Authorized Official Telephone 8286595196
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Q00000X Family Medicine NC Allopathic & Osteopathic Physicians
N 207R00000X Internal Medicine NC Allopathic & Osteopathic Physicians
N 208000000X Pediatrics NC Allopathic & Osteopathic Physicians
N 363A00000X Physician Assistant NC Physician Assistants & Advanced Practice Nursing Providers
N 363L00000X Nurse Practitioner NC Physician Assistants & Advanced Practice Nursing Providers
Y 261QR1300X Clinic/Center
Specialization: Rural Health
343410 NC Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NC BCBS 0270B 01

Other Provider/Organization Names

Other Name Type Code
Mission Health Mauzy-Phillips Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1184133100 Blue Ridge Regional Hospital, Inc Emergency Medicine 125 Hospital Dr, Spruce Pine, NC 28777-3035 2017-09-21
1447261698 Blue Ridge Regional Hospital, Inc Family Medicine 800 Medical Campus Dr, Burnsville, NC 28714-9010 2006-08-11
1629089776 Blue Ridge Regional Hospital, Inc Family Medicine 11728 S 226 Hwy, Spruce Pine, NC 28777-8954 2006-08-11

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities BLUE RIDGE REGIONAL HOSPITAL, INC. 125 Hospital Dr, Spruce Pine, NC 28777-3035

Office Location

Street Address 189 HOSPITAL DR
City SPRUCE PINE
State NC
Zip Code 28777-3035

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710543871 Nicole Venezia Sims Pharmacist 189 Hospital Dr, Spruce Pine, NC 28777-3035 2019-05-14
1457822363 Lauren Hebb Physician Assistant 189 Hospital Dr, Spruce Pine, NC 28777-3035 2018-12-17
1578034054 Mh Blue Ridge Medical Center, Lllp Pharmacy 189 Hospital Dr, Spruce Pine, NC 28777-3035 2018-12-10
1720556269 Mh Blue Ridge Medical Center, Lllp Nurse Practitioner 189 Hospital Dr, Spruce Pine, NC 28777-3035 2018-11-02
1841702040 Ashley Williams Nurse Practitioner 189 Hospital Dr, Spruce Pine, NC 28777-3035 2017-10-27
1093248718 Charles Bradley Quillen Nurse Practitioner 189 Hospital Dr, Spruce Pine, NC 28777-3035 2017-04-10
1649649559 Jacob Jarrett Physician Assistant 189 Hospital Dr, Spruce Pine, NC 28777-3035 2015-09-21
1467838557 Mission Medical Associates, Inc. Family Medicine 189 Hospital Dr, Spruce Pine, NC 28777 2015-07-31
1639563943 Blue Ridge Regional Hospital Pharmacy 189 Hospital Dr, Spruce Pine, NC 28777 2015-03-25
1881094811 Mission Medical Associates Inc Internal Medicine 189 Hospital Dr, Spruce Pine, NC 28777-3035 2014-08-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013405265 Spruce Pine Chiropractic, Pllc Clinic/Center 31 Cross Street, Suite 266, Spruce Pine, NC 28777 2018-04-24
1326463316 Susan Lynn Lamont Counselor 2206 Carters Ridge Rd, Spruce Pine, NC 28777 2014-02-27
1548521115 Mitchell House One, LLC Assisted Living Facility 13681 Hwy 226 South, Spruce Pine, NC 28777 2012-05-31
1245590025 Lisa Wade Thomas Hearing Instrument Specialist 11887 S. P. Shopping Ctr, Spruce Pine, NC 28777 2012-05-25
1972860021 Laura Lee Freeman Psychologist 545 Amity Park Rd., Mt. View Correctional Institute, Spruce Pine, NC 28777 2012-04-13
1326272824 Brie Michele Folkner Family Medicine 537 Altapass Hwy Ste C, Spruce Pine, NC 28777 2009-05-12
1093901290 Patricia Susan Noser Nurse Practitioner 12348 South 226 Highway, Spruce Pine, NC 28777 2007-09-20
1194943092 Blue Ridge General Surgery, PC Surgery 8017 Nineteen E Highway, Spruce Pine, NC 28777 2007-04-23
1528186277 Bruce Dennis Crawford Dentist 600 Amity Park Rd, Dental-avery Mitchell Correctional Institution, Spruce Pine, NC 28777 2007-03-27
1134284755 Freedom Memorial In-home Monitoring Durable Medical Equipment & Medical Supplies 1422 Roan Road, Spruce Pine, NC 28777 2006-12-26
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Taxonomy Information

Taxonomy Code 261QR1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rural Health

Taxonomy Definition

Definition to come...

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1528623725 Cynthia Mcarthur-kearney Clinic/Center 531 Hillsboro St, Fayetteville, NC 28301-4634 2019-05-03
1528559671 Bladen Healthcare LLC Clinic/Center 273 White Lake Dr, White Lake, NC 28337 2018-05-24
1043759335 Bladen Healthcare LLC Clinic/Center 88 E Green St., Clarkton, NC 28433-5002 2017-02-20
1114269677 Bladen Healthcare LLC Clinic/Center 107e Dunham St, Elizabethtown, NC 28337-9037 2013-03-22
1699062802 Cah Acquisition Company 1 LLC Clinic/Center 9500 Nc Highway 94 North, Creswell, NC 27928-8808 2011-07-08
1912294687 Pioneer Health Services of Stokes County, Inc. Clinic/Center 1020 Hospice Drive, Danbury, NC 27016-0000 2011-07-01
1578858247 Warren Community Health Clinic Inc. Clinic/Center 546 W Ridgeway St, Warrenton, NC 27589-1716 2011-06-10
1427282045 Southeastern Regional Physician Services Clinic/Center 2002 N Cedar St Ste B, Lumberton, NC 28358-3926 2009-05-11
1578702189 Appalachian Healthcare, Inc. Clinic/Center 9330 Highway 194, Lansing, NC 28643-0184 2009-02-05
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Competitor

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City SPRUCE PINE
Zip Code 28777

Improve Information

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Dataset Information

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.

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