Provider Demographics
NPI:1710075759
Name:BLUE RIDGE HOSPITAL SYSTEM INC
Entity Type:Organization
Organization Name:BLUE RIDGE HOSPITAL SYSTEM INC
Other - Org Name:TOE RIVER CHILDRENS DENTAL CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:DEBORA
Authorized Official - Middle Name:L
Authorized Official - Last Name:BARNETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-766-1700
Mailing Address - Street 1:PO BOX 74
Mailing Address - Street 2:89 NORTH MITCHELL AVE
Mailing Address - City:BAKERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28705
Mailing Address - Country:US
Mailing Address - Phone:828-688-8385
Mailing Address - Fax:828-688-8383
Practice Address - Street 1:89 NORTH MITCHELL AVE
Practice Address - Street 2:
Practice Address - City:BAKERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28705
Practice Address - Country:US
Practice Address - Phone:828-688-8385
Practice Address - Fax:828-688-8383
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital