NPIMap

Organization Active NPI

Blue Ridge Healthcare Hospitals, Inc.

Doing business as CMC Blue Ridge

  • Hematology & Oncology Physician
  • Valdese, NC
National Provider Identifier
1487707964
Registry record updated Feb 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
BLUE RIDGE HEALTHCARE HOSPITALS, INC.
Doing business as
CMC Blue Ridge
Practice address
720 Malcolm Blvd
Valdese, NC 28671
Phone
(828) 879-7536
NPI assigned
Jan 19, 2007
Last updated
Feb 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2013

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

Authorized official

Name
Robert Fritts
Title
SVP - Cfo
Phone
(828) 879-7536

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X Primary

Addresses

Primary practice location

720 Malcolm Blvd
Valdese, NC 28671

Mailing address

720 Malcolm Blvd
Valdese, NC 28671

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 1487707964. 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 organizations 10

Organizations listed as members of this organization in the National Provider Directory.

Locations

113 Foothills Dr
Ste A
Morganton, NC 28655
Phone (828) 580-4220

137 W Parker Rd
Ste A
Morganton, NC 28655
Phone (828) 430-3558

2203 S Sterling St
Ste 132
Morganton, NC 28655
Phone (828) 437-6122

2209 S Sterling St
Ste 602
Morganton, NC 28655

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

Practitioners 1

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.

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": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361232000000",
    "number": "1487707964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 MALCOLM BLVD",
            "city": "VALDESE",
            "state": "NC",
            "postal_code": "28671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 MALCOLM BLVD",
            "city": "VALDESE",
            "state": "NC",
            "postal_code": "28671",
            "telephone_number": "828-879-7536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE HEALTHCARE HOSPITALS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2013-02-19",
        "status": "A",
        "authorized_official_last_name": "FRITTS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "SVP - CFO",
        "authorized_official_telephone_number": "828-879-7536"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CMC Blue Ridge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Valdese, NC

Sources for this page

Verify at the official NPI Registry.