Blue Ridge Regional Hospital, Inc

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

BLUE RIDGE REGIONAL HOSPITAL, INC

Doing business as

Mission Community Primary Care

Practice address

11728 S 226 Hwy
Spruce Pine, NC 28777-8954

Phone

(828) 765-5672

Fax

(828) 765-5676

NPI assigned

Aug 11, 2006

Last updated

Dec 5, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Clint Stewart

Title

Regional Director

Phone

(828) 659-5196

Specialties & licenses 7

Addresses

Other identifiers 2

Other names 1

• Mission Community Primary Care Doing business as

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480896000000",
    "number": "1629089776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602373",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602373",
            "telephone_number": "828-213-1500",
            "fax_number": "828-651-6570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11728 S 226 HWY",
            "city": "SPRUCE PINE",
            "state": "NC",
            "postal_code": "287778954",
            "telephone_number": "828-765-5672",
            "fax_number": "828-765-5676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE REGIONAL HOSPITAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2016-12-05",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "CLINT",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR",
        "authorized_official_telephone_number": "828-659-5196"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "018NU",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "343426",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mission Community Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Blue Ridge Regional Hospital Inc (Blue Ridge Medical Center General Surgery)
• Blue Ridge Regional Hospital Inc
• Blue Ridge Regional Hospital Inc
• Blue Ridge Regional Hospital Inc (Blue Ridge Urology Clinic)
• Blue Ridge Regional Hospital, Inc (Mission Emergency Medicine Spruce Pine)
• Blue Ridge Regional Hospital, Inc (Mission Health Mauzy-Phillips Center)
• Blue Ridge Regional Hospital, Inc. (Cancer Care of Western North Carolina-Mission)
• Blue Ridge Regional Hospital, Inc. (Blue Ridge Hospitalist Group)
• Blue Ridge Regional Hospital, Inc. (Mission Pain Management)
• Blue Ridge Regional Hospital, Inc. (Mission Community Obstetrics and Gynecology Specialist)

• Rural Health Clinic/Center in Spruce Pine, NC
• Providers in Spruce Pine, NC by specialty
• Rural Health Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.