MISSION COMMUNITY PRIMARY CARE - NPI 1629089776 - Clinic/Center in Spruce Pine, NC

Q: What is Blue Ridge Regional Hospital, Inc's NPI number?

The NPI number for Blue Ridge Regional Hospital, Inc is 1629089776. It was assigned to this organization in the NPPES registry on August 11, 2006. The provider is doing business as Mission Community Primary Care.

Q: What is Blue Ridge Regional Hospital, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

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About Mission Community Primary Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISSION COMMUNITY PRIMARY CARE (NPI 1629089776) is a healthcare organization registered as a rural health in Spruce Pine, North Carolina and active in the NPI registry since August 2006. The organization lists Clint Stewart, Regional Director, as its authorized official.

NPPES Registry Identity

NPI1629089776

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameBLUE RIDGE REGIONAL HOSPITAL, INC

Location Address11728 S 226 HWYSpruce Pine, NC 28777-8954

Mailing AddressPo Box 602373Charlotte, NC 28260-2373 · (828) 213-1500 · Fax (828) 651-6570

Phone(828) 765-5672

Fax(828) 765-5676

Organization SubpartNo

Authorized OfficialClint StewartRegional Director · (828) 659-5196

Enumeration DateAugust 11, 2006

Last NPPES UpdateDecember 5, 20162 updates tracked since enumeration

✔ NPI 1629089776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedPediatricsTaxonomy 208000000X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

11728 S 226 HWY, Spruce Pine, NC 28777

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Other Names 1

Doing Business AsMission Community Primary Care

Other Identifiers 4

Medicare PIN235013DNC

Medicaid343426NC

Medicare OSCAR/certification343426NC

Other018NUNC · Bcbs Nc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERINN YETTER LAT, ATC

Specialist/Technologist (Athletic Trainer)