Blue Mountain Medical Goup, Pllc
LBN: Blue Mountain Medical Goup, Pllc
Blue Mountain Medical Goup, Pllc is an health care organization with primary practice located at 1111 S 2Nd Ave , Walla Walla WA 99362-4118. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty.
Blue Mountain Medical Goup, Pllc can be contacted via phone (509) 522-0100, or through Strickler, Kathy A. via phone (509) 522-0100.
Contact Information
Primary practice address
1111 S 2Nd Ave
Walla Walla WA 99362-4118
Phone: (509) 522-0100
Fax: (509) 527-8010
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | ||
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X | Washington |
Profile Details
| NPI number | 1154306884 |
|---|---|
| LBN Legal business name | Blue Mountain Medical Goup, Pllc |
| DBA Doing business as | |
| Authorized official | Strickler, Kathy A. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 15th, 2005 |
| Last updated | Aug 22nd, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154306884 | NPPES |
| Oregon | MEDICAID | 00615 | |
| Oregon | MEDICAID | 287665 | |
| Oregon | MEDICAID | 7103260 | |
| Oregon | MEDICAID | 71121170 |
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