Blue Ridge Medical Center | |
4038 Thomas Nelson Hwy Arrington VA 22922-2302 | |
(434) 263-5953 | |
(434) 263-4160 |
Full Name | Blue Ridge Medical Center |
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Speciality | Clinic/Center |
Location | 4038 Thomas Nelson Hwy, Arrington, Virginia |
Authorized Official Name and Position | Richard Shinn (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 4342634000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Blue Ridge Medical Center 4038 Thomas Nelson Hwy Arrington VA 22922-2302 Ph: (434) 263-4000 | Blue Ridge Medical Center 4038 Thomas Nelson Hwy Arrington VA 22922-2302 Ph: (434) 263-5953 |
NPI Number | 1518945187 |
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Provider Enumeration Date | 01/04/2006 |
Last Update Date | 09/01/2022 |
Medicare PECOS PAC ID | 9739082520 |
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Medicare Enrollment ID | O20040129000462 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518945187 | NPI | - | NPPES |
007600178 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Provider Name | Tracy Jones Cheatham |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134157944 PECOS PAC ID: 1254399819 Enrollment ID: I20041229000329 |
Provider Name | Ernest Olin Pugh |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1831163575 PECOS PAC ID: 9739124876 Enrollment ID: I20050620001195 |
Provider Name | Rose Campbell Taylor-lewis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538370911 PECOS PAC ID: 8628154333 Enrollment ID: I20080320000499 |
Provider Name | Bradley B Manning |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1619189404 PECOS PAC ID: 1153408034 Enrollment ID: I20080402000339 |
Provider Name | Lois Ann Alderfer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194703876 PECOS PAC ID: 0840327383 Enrollment ID: I20100414001002 |
Provider Name | Steven Richard Alderfer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952389645 PECOS PAC ID: 0244368280 Enrollment ID: I20100512000254 |
Provider Name | Benjamin E Nissley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023565132 PECOS PAC ID: 2961783451 Enrollment ID: I20161220002504 |
Provider Name | Lisa M Gittleman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982670303 PECOS PAC ID: 5597046599 Enrollment ID: I20170106000055 |
Provider Name | Ceryna Marie Riner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396289575 PECOS PAC ID: 9234413667 Enrollment ID: I20170303000871 |
Provider Name | Tabatha Brittany Davis |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1851704845 PECOS PAC ID: 3476770827 Enrollment ID: I20180502000883 |
Provider Name | Helen Marie Parke |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821507526 PECOS PAC ID: 7517222649 Enrollment ID: I20180521001057 |
Provider Name | Melissa Jensen Bond |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013566223 PECOS PAC ID: 2365870821 Enrollment ID: I20200316000931 |
Provider Name | Anita Brady Neville |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942214093 PECOS PAC ID: 6204135775 Enrollment ID: I20220808002456 |
Provider Name | Katie Nichole Robinson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598400053 PECOS PAC ID: 7618350257 Enrollment ID: I20220816000228 |
Provider Name | Rachel Faye Harris |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154032597 PECOS PAC ID: 5799150868 Enrollment ID: I20230404001402 |
Provider Name | Tracy Lee Lopez |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1184037277 PECOS PAC ID: 2668751496 Enrollment ID: I20230608000303 |
Provider Name | Matthew Chad Lehner-gulotta |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801675517 PECOS PAC ID: 6901256767 Enrollment ID: I20231220002524 |
Provider Name | Gary T Anderson |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1730805508 PECOS PAC ID: 3476904574 Enrollment ID: I20240112000948 |
Provider Name | Elizabeth Wilson |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1457620841 PECOS PAC ID: 3072957950 Enrollment ID: I20240219003298 |
The Mobile Unit Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4038 Thomas Nelson Hwy, Arrington, VA 22922 Phone: 434-263-4000 Fax: 434-263-4160 | |
Blue Ridge Dental Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4038 Thomas Nelson Hwy, Arrington, VA 22922 Phone: 434-263-6310 Fax: 434-263-4160 |