NPIMap

Organization Active NPI

Blue Ridge Regional Hospital Inc

  • Rural Acute Care Hospital
  • Spruce Pine, NC
National Provider Identifier
1679570840
Registry record updated Apr 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Acute Care HospitalTaxonomy code 282NR1301X
License
H0169 Issued in NC
Legal business name
BLUE RIDGE REGIONAL HOSPITAL INC
Practice address
125 Hospital Dr
Spruce Pine, NC 28777-3035
Phone
(828) 765-4201
Fax
(828) 765-0824
NPI assigned
Jul 4, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2009

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

Authorized official

Name
Mr. Jonathan Carl Smith
Title
Cfo
Phone
(828) 766-1740

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X
Rural Acute Care Hospital 282NR1301X H0169 NC Primary

Addresses

Primary practice location

125 Hospital Dr
Spruce Pine, NC 28777-3035

Mailing address

PO Box 9
Spruce Pine, NC 28777-0009
Phone (828) 765-4201

Other identifiers 14

IdentifierTypeStateIssuer
235013BOtherNCMEDICARE PROFESSIONAL
3400011MedicaidNC
CA1796OtherNCMEDICARE RAILROAD
00513OtherNCBCBSNC
235013OtherNCMEDICARE PROFESSIONAL
34750011OtherNCMEDICAID SWINGBED
411013849OtherNCMEDICARE RAILROAD
8000306OtherNCMEDICAID CRNA
8907673OtherNCMEDICAID PROFESSIONAL
C30677OtherNCMEDICARE RAILROAD
2612160OtherNCMEDICARE CRNA
014MXOtherNCBCBSNC LABS
07673OtherNCBCBSNC PROFESSIONAL
430001766OtherNCMEDICARE RAILROAD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1120435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239321600000",
    "number": "1679570840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "SPRUCE PINE",
            "state": "NC",
            "postal_code": "287770009",
            "telephone_number": "828-765-4201",
            "fax_number": "828-765-0824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 HOSPITAL DR",
            "city": "SPRUCE PINE",
            "state": "NC",
            "postal_code": "287773035",
            "telephone_number": "828-765-4201",
            "fax_number": "828-765-0824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE REGIONAL HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-04",
        "last_updated": "2009-04-10",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "828-766-1740",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "NC",
            "license": "H0169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROFESSIONAL",
            "identifier": "235013B",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3400011",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CA1796",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "00513",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROFESSIONAL",
            "identifier": "235013",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID SWINGBED",
            "identifier": "34750011",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "411013849",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID CRNA",
            "identifier": "8000306",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID PROFESSIONAL",
            "identifier": "8907673",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "C30677",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE CRNA",
            "identifier": "2612160",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC LABS",
            "identifier": "014MX",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC PROFESSIONAL",
            "identifier": "07673",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "430001766",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spruce Pine, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2009; 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.