Blue Ridge Long Term Care Medicine | |
2201 S Sterling St Morganton NC 28655-4044 | |
(828) 580-5000 | |
Not Available |
Full Name | Blue Ridge Long Term Care Medicine |
---|---|
Speciality | Family Medicine - Geriatric Medicine |
Location | 2201 S Sterling St, Morganton, North Carolina |
Authorized Official Name and Position | Robert G Fritts (SVP/CFO) |
Authorized Official Contact | 8285805000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Blue Ridge Long Term Care Medicine 103 Medical Heights Dr Morganton NC 28655-5197 Ph: () - | Blue Ridge Long Term Care Medicine 2201 S Sterling St Morganton NC 28655-4044 Ph: (828) 580-5000 |
NPI Number | 1861743007 |
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Provider Enumeration Date | 09/27/2012 |
Last Update Date | 06/19/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861743007 | NPI | - | NPPES |
5921615 | Other | NC | GRACE HEIGHTS MEDICAID |
5921616 | Other | NC | GRACE RIDGE MEDICAID |
5921614 | Other | NC | COLLEGE PINES MEDICAID |
2327875 | Other | NC | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QG0300X | Family Medicine - Geriatric Medicine | 28077 (North Carolina) | Primary |
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