Blue Mountain Health Cooperative

LBN: Blue Mountain Health Cooperative
Blue Mountain Health Cooperative is an health care organization with primary practice located at 2330 Eastgate St Ste 105 , Walla Walla WA 99362-1559. The organization recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Blue Mountain Health Cooperative can be contacted via phone (509) 973-5788, or through Brinton, Alayna via phone (509) 840-4618.

Contact Information

Primary practice address
2330 Eastgate St Ste 105 Walla Walla WA 99362-1559
Phone: (509) 973-5788
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Brinton, Alayna LICSW
Phone: (509) 840-4618

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X

Profile Details

NPI number 1245839919
LBN Legal business name Blue Mountain Health Cooperative
DBA Doing business as
Authorized official Brinton, Alayna LICSW
Entity Organization
Organization subpart 1 No
Enumeration date Oct 22nd, 2020
Last updated Jul 23rd, 2021 - about 3 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 1245839919 NPPES
Washington MEDICAID 2168971

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