NPIMap

Organization Active NPI

Blue Ridge Community Health Services, Inc

Doing business as Lake Lure Health Center

  • Federally Qualified Health Center (FQHC)
  • Lake Lure, NC
National Provider Identifier
1003384140
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
BLUE RIDGE COMMUNITY HEALTH SERVICES, INC
Doing business as
Lake Lure Health Center
Practice address
146 Nesbitt RDG
Lake Lure, NC 28746-0057
Phone
(828) 625-4400
Fax
(828) 625-4455
NPI assigned
Nov 7, 2018
Last updated
Sep 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tammy R Greenwell
Title
Ceo
Phone
(828) 233-2284

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

146 Nesbitt RDG
Lake Lure, NC 28746-0057

Mailing address

PO Box 27509
Belfast, ME 04915-2027
Phone (828) 692-4289

Other names 1

  • Lake Lure Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040402000411 NC Part B Supplier - Clinic/Group Practice 3173434743 Receives reassigned benefits from 180 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Spindale, NC; Lake Lure, NC; Hendersonville, NC; Brevard, NC; Arden, NC
O20190214002594 NC Part A Provider - Federally Qualified Health Center (FQHC) 3173434743 Practice locations: Lake Lure, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003384140. Details of each certification follow.

Federally qualified health center certification: CCN 341095

Legal name
BLUE RIDGE COMMUNITY HEALTH SERVICES, INC.
Doing business as
LAKE LURE HEALTH SERVICES
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 14, 2019
Last certification
Feb 14, 2019
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jul 3, 1963 in NC
Enrollment address
146 Nesbitt RDG
Lake Lure, NC 28746-0057

Other NPIs with the same Medicare PAC ID 21

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 21

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Networks

  • SC HMO

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Juan Ramirez Individual Corporate OfficerBoard of Directors Jan 1, 2008
Joshua James Kennedy Individual Corporate OfficerBoard of Directors Jun 1, 2017
Marilyn W Tatham Individual W-2 Managing EmployeeProvider Enrollment Manager Feb 1, 2020
James Spiro Individual Corporate OfficerBoard of Directors Oct 1, 2021
Renee Dipiero Kumor Individual Corporate OfficerBoard of Directors Nov 1, 2022
Robert B Cochran Individual Corporate DirectorBoard of Directors Oct 1, 2021
Tammy Renee Greenwell Individual Corporate DirectorBoard of Directors Aug 28, 2025
W-2 Managing EmployeeAd;Ceo Aug 28, 2025
Linda Ann Weldon Individual Corporate OfficerBoard of Directors Apr 1, 2016
Jean M Dillon Individual Corporate OfficerBoard of Directors May 1, 2021
Lorna Barnett Individual Corporate OfficerBoard of Directors Oct 1, 2021
Karen Penny Gash-Pearson Individual Corporate OfficerBoard of Directors Jan 3, 2024
Kristie a Hannon Individual W-2 Managing EmployeePatient Financial Service Director Feb 1, 2020

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 24

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1541548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1003384140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27509",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049152027",
            "telephone_number": "828-692-4289",
            "fax_number": "828-696-1794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 NESBITT RDG",
            "city": "LAKE LURE",
            "state": "NC",
            "postal_code": "287460057",
            "telephone_number": "828-625-4400",
            "fax_number": "828-625-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE COMMUNITY HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-07",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A",
        "authorized_official_last_name": "GREENWELL",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "828-233-2284"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Lure Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Lure, NC

Sources for this page

Verify at the official NPI Registry.