CMS-1500 Box 24J / 33a • NPI
1790760213
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
261QR1300X (CMS B4[14])
Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center
Box 32 Service Location & ZIP+4
189 HOSPITAL DR, SPRUCE PINE, NC, 28777-3035
✓ 9-Digit EDI 837 ZIP+4 (28777-3035)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1790760213 (BLUE RIDGE REGIONAL HOSPITAL, INC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1790760213 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | BLUE RIDGE REGIONAL HOSPITAL, INC |
| Plain-English Specialty | Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: 261QR1300X (Clinic/Center, Rural Health) |
| Certifying / Licensing Body | Accreditation Association for Ambulatory Health Care (AAAHC) / CMS |
| Practice Location Address | 189 HOSPITAL DR, SPRUCE PINE, NC, 28777-3035 |
| Practice Telephone / Fax | Tel: (828) 766-3555 |
| Administrative Mailing Address | PO BOX 602373, CHARLOTTE, NC, 28260-2373 |
| Enumeration & Last Sync | Enumerated: 2005-12-07 | CMS Record Updated: 2018-11-19 |
| Authorized Official | CLINT STEWART (Regional Director) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (261QR1300X)
What Does Taxonomy Code 261QR1300X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261QR1300X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (BLUE RIDGE REGIONAL HOSPITAL, INC)
Typical CPT / Diagnostic Procedures:- Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
- Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures
- Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207Q00000X — Family MedicinePlain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) | State: NC | License: Verified | Primary: Secondary |
207R00000X — Internal MedicinePlain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) | State: NC | License: Verified | Primary: Secondary |
208000000X — PediatricsPlain English: Board-Certified Pediatrician (Infant, Child & Adolescent Medicine) | State: NC | License: Verified | Primary: Secondary |
363A00000X — Physician AssistantPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant | State: NC | License: Verified | Primary: Secondary |
363L00000X — Nurse PractitionerPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner | State: NC | License: Verified | Primary: Secondary |
261QR1300X — Clinic/Center, Rural HealthPlain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center | State: NC | License: 343410 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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