Blue Mountain Genetics Clinic, Pllc

LBN: Blue Mountain Genetics Clinic, Pllc
Blue Mountain Genetics Clinic, Pllc is an health care organization with primary practice located at 320 W Willow St , Walla Walla WA 99362-2922. The organization recently has only one registered license in Other Service Providers / Genetic Counselor, MS, which is considered as the primary health care specialty. Blue Mountain Genetics Clinic, Pllc can be contacted via phone (509) 525-1302, or through Cooper, Patricia S. via phone (509) 525-1302.

Contact Information

Primary practice address
320 W Willow St Walla Walla WA 99362-2922
Phone: (509) 525-1302
Fax: (509) 522-9448
Website:
Map and Directions
Authorized official contact:
Name: Cooper, Patricia S. PHD
Phone: (509) 525-1302

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Genetic Counselor, MS 170300000X Washington

Profile Details

NPI number 1316934110
LBN Legal business name Blue Mountain Genetics Clinic, Pllc
DBA Doing business as
Authorized official Cooper, Patricia S. PHD
Entity Organization
Organization subpart 1 No
Enumeration date Oct 5th, 2005
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316934110 NPPES
Washington MEDICAID 7110661

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