Provider Demographics
NPI:1518410711
Name:BLUE RIDGE MEDICAL SOLUTIONS LLC
Entity Type:Organization
Organization Name:BLUE RIDGE MEDICAL SOLUTIONS LLC
Other - Org Name:BSK HEALTH PARTNERS LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:BIEGEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-371-4223
Mailing Address - Street 1:401 N CARROLL AVE
Mailing Address - Street 2:# 169
Mailing Address - City:SOUTHLAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76092-6407
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:351 BANK ST
Practice Address - Street 2:# 102
Practice Address - City:SOUTHLAKE
Practice Address - State:TX
Practice Address - Zip Code:76092
Practice Address - Country:US
Practice Address - Phone:888-984-5458
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-25
Last Update Date:2018-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1001645332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies