BLUE RIDGE MEDICAL CENTER
NPI 1669592564
Clinic/Center - Primary Care in Lake Wales, FL

Q: What is Eagle Ridge Medical Center Co.'s NPI number?

The NPI number for Eagle Ridge Medical Center Co. is 1669592564. It was assigned to this organization in the NPPES registry on April 2, 2007. The provider is doing business as Blue Ridge Medical Center.

Q: What is Eagle Ridge Medical Center Co.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since April 02, 2007

1030 CHALET SUZANNE RD, LAKE WALES, FL 33859(863) 679-1818(863) 679-1097 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Blue Ridge Medical Center NPPES

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

BLUE RIDGE MEDICAL CENTER (NPI 1669592564) is a healthcare organization registered as a primary care in Lake Wales, Florida and active in the NPI registry since April 2007. The organization lists Margaret Ellen Eastham, President, as its authorized official.

NPPES Registry Identity

NPI1669592564

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameEAGLE RIDGE MEDICAL CENTER CO.

Location Address1030 CHALET SUZANNE RDLake Wales, FL 33859-7760

Mailing Address1030 Chalet Suzanne RdLake Wales, FL 33859-7760 · (863) 679-1818 · Fax (863) 679-1097

Phone(863) 679-1818

Fax(863) 679-1097

Organization SubpartNo

Authorized OfficialMargaret Ellen EasthamPresident · (863) 679-1818

Enumeration DateApril 2, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1669592564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

1030 CHALET SUZANNE RD, Lake Wales, FL 33859

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Other Names 1

Doing Business AsBlue Ridge Medical Center

Other Providers at the Same Location NPPES

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

DR. MARGARET ELLEN EASTHAM MD

Family Medicine

1030 CHALET SUZANNE RD
LAKE WALES, FL 33859

Polk County (863) 679-1818

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eagle Ridge Medical Center Co.'s NPI number?

The NPI number for Eagle Ridge Medical Center Co. is 1669592564. It was assigned to this organization in the NPPES registry on April 2, 2007. The provider is doing business as Blue Ridge Medical Center.

Where is Eagle Ridge Medical Center Co. located?

Eagle Ridge Medical Center Co. is located at 1030 Chalet Suzanne Rd, Lake Wales, FL 33859. The listed phone number is (863) 679-1818.

What is Eagle Ridge Medical Center Co.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Eagle Ridge Medical Center Co. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.