NPIMap

Organization Active NPI

Blue Ridge Community Health Services Inc

Doing business as Brevard Health Center

  • Federally Qualified Health Center (FQHC)
  • Brevard, NC
National Provider Identifier
1750144119
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
Brevard Health Center
Practice address
29 W French Broad St Ste 210
Brevard, NC 28712-4773
Phone
(828) 883-5550
Fax
(828) 883-5525
NPI assigned
Jan 30, 2024
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

29 W French Broad St Ste 210
Brevard, NC 28712-4773

Mailing address

220 5TH Ave E
Hendersonville, NC 28792-4377
Phone (828) 692-4289

Other names 1

  • Brevard 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
O20240509002415 NC Part A Provider - Federally Qualified Health Center (FQHC) 3173434743 Practice locations: Brevard, NC
O20240918001678 NC Part B Supplier - Clinic/Group Practice 3173434743 Receives reassigned benefits from 23 practitioners
Practice locations: Brevard, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1750144119. Details of each certification follow.

Federally qualified health center certification: CCN B61051

Legal name
BLUE RIDGE COMMUNITY HEALTH SERVICES, INC.
Doing business as
BREVARD HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 10, 2024
Last certification
May 10, 2024
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jul 3, 1963 in NC
Enrollment address
29 W French Broad St
Ste 210
Brevard, NC 28712-4773

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

National Provider Directory

National Provider Directory

Locations

142 Airport Rd
Unit Kl
Arden, NC 28704
Phone (828) 698-2979

303 Airport Rd
Arden, NC 28704
Phone (828) 698-2979

155 W Mills St
Columbus, NC 28722
Phone 82861242892201

2589 Chimney Rock Rd
Hendersonville, NC 28792
Phone (828) 692-4299

146 Nesbitt Rdg
Lake Lure, NC 28746
Phone (828) 625-4400

Ownership & related parties

All disclosed owners & managing parties 10

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 DirectorBoard of Directors Jan 1, 2008
Joshua James Kennedy Individual Corporate DirectorBoard of Directors Jun 1, 2017
Marilyn W Tatham Individual W-2 Managing EmployeeProvider Enrollment Manager Jan 1, 2020
Renee Dipiero Kumor Individual Corporate DirectorBoard 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
Jean M Dillon Individual Corporate DirectorBoard of Directors May 1, 2021
Lorna Barnett Individual Corporate DirectorBoard of Directors Oct 1, 2021
Karen Penny Gash-Pearson Individual Corporate DirectorBoard of Directors Jan 3, 2024
Carrie F McBane Individual Corporate DirectorBoard of Directors Oct 1, 2021

Practitioners & affiliated clinicians

Practitioners 191

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 191

NPI Registry JSON

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

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1750144119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 5TH AVE E",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287924377",
            "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": "29 W FRENCH BROAD ST STE 210",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287124773",
            "telephone_number": "828-883-5550",
            "fax_number": "828-883-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE COMMUNITY HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-30",
        "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": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brevard Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brevard, NC

Sources for this page

Verify at the official NPI Registry.