NPIMap

Organization Active NPI

Blue Ridge Healthcare Hospitals, Inc.

Doing business as CMC Blue Ridge

  • General Acute Care Hospital
  • Rutherford College, NC
National Provider Identifier
1306821798
Registry record updated Feb 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
H0091 Issued in NC
Legal business name
BLUE RIDGE HEALTHCARE HOSPITALS, INC.
Doing business as
CMC Blue Ridge
Practice address
720 Malcolm Blvd
Rutherford College, NC 28671-2872
Phone
(828) 580-5000
Fax
(828) 580-5039
NPI assigned
Dec 8, 2005
Last updated
Feb 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2013

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

Authorized official

Name
Mr. Robert Fritts
Title
Vice President
Phone
(828) 580-5545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X H0091 NC Primary

Addresses

Primary practice location

720 Malcolm Blvd
Rutherford College, NC 28671-2872

Mailing address

720 Malcolm Blvd
Rutherford College, NC 28671-2872
Phone (828) 580-5000

Other names 1

  • CMC Blue Ridge Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031015000025 NC Part A Provider - Hospital 5698687564 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hickory, NC; Morganton, NC; Valdese, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306821798. Details of each certification follow.

Hospital certification: CCN 340075

Legal name
BLUE RIDGE HEALTHCARE HOSPITALS INC
Doing business as
UNC HEALTH BLUE RIDGE
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Apr 18, 2008
Beds
204
Ownership / control type
Private (for profit)
Organization structure
CorporationNon-profit
Incorporated
Jan 18, 1908 in NC
Enrollment address
2201 S Sterling St
Morganton, NC 28655-4044
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Other NPIs on the same Medicare enrollment 3

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Blue Ridge Healthcare Hospitals, IncCCN 340075 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Andrew R Brant Individual Corporate DirectorBoard of Directors Jan 1, 2022
Gandhari Loomis Individual Corporate DirectorBoard of Directors Jan 1, 2022
James Rostan Individual Corporate DirectorBoard Member Jul 1, 2023
Mac McCrary Individual Corporate DirectorVice Chairman Jan 1, 2005
Kevin Scott Baxter Individual Corporate DirectorBoard of Directors Jul 1, 2023
Amy Jackson Kincaid Individual Corporate DirectorBoard of Directors Jul 1, 2023
Thea Yang Individual Corporate DirectorBoard of Directors Sep 26, 2022
Gary Paxson Individual Corporate Officer Sep 3, 2024
University of North Carolina Health Care System Organization, Morrisville, NC Non-profit, Chain home office Operational/Managerial Control Oct 1, 2021 100%
Blue Ridge Healthcare System, Inc. Organization, Morganton, NC Corporation, Non-profit 5% Or Greater Direct Ownership Interest Dec 1, 2012 100%
David James Bennett Individual Corporate DirectorTreasurer Oct 1, 2022
Patricia Moll Individual Corporate OfficerSVP/Cfo Oct 12, 2020
W-2 Managing EmployeeSVP/Cfo Oct 12, 2020
J Bridges Individual Corporate DirectorPast Chairman Jan 1, 2003
Susan Peeler Haire Individual Corporate DirectorBoard Member Oct 1, 2021
Anthony J Frank Individual Corporate OfficerCmo Jul 1, 2019

Owners & managing parties with NPI records 6

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 426

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 426

NPI Registry JSON

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361145600000",
    "number": "1306821798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 MALCOLM BLVD",
            "city": "RUTHERFORD COLLEGE",
            "state": "NC",
            "postal_code": "286712872",
            "telephone_number": "828-580-5000",
            "fax_number": "828-580-5039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 MALCOLM BLVD",
            "city": "RUTHERFORD COLLEGE",
            "state": "NC",
            "postal_code": "286712872",
            "telephone_number": "828-580-5000",
            "fax_number": "828-580-5039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE HEALTHCARE HOSPITALS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-08",
        "last_updated": "2013-02-18",
        "status": "A",
        "authorized_official_last_name": "FRITTS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "828-580-5545",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NC",
            "license": "H0091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CMC Blue Ridge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rutherford College, NC

Sources for this page

Verify at the official NPI Registry.