1144621822 NPI number — BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC.

Table of content: DR. PETER PAUL GALEA DMP (NPI 1225035397)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144621822 NPI number — BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1144621822
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/13/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2201 S STERLING ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MORGANTON
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28655-4044
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
828-580-6753
Provider Business Mailing Address Fax Number:
828-580-6759

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2201 S STERLING ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MORGANTON
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28655-4044
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-580-6753
Provider Business Practice Location Address Fax Number:
828-580-6759
Provider Enumeration Date:
09/12/2014

Additional Information

Authorized Official

Authorized Official Last Name:
MOLL
Authorized Official First Name:
PATRICIA
Authorized Official Middle Name:
Authorized Official Title or Position:
SVP-CFO
Authorized Official Telephone Number:
828-580-5003

Provider Taxonomy Codes

  • Taxonomy code: 208M00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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