Blue Mountain Medical Inc

LBN: Blue Mountain Medical Inc
Blue Mountain Medical Inc is an health care organization with primary practice located at 16515 Meridian E Suite 203 B, Puyallup WA 98375-6251. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Oxygen Equipment & Supplies. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Blue Mountain Medical Inc can be contacted via phone (253) 841-2700, or through Tall, Alfred Anthony via phone (425) 673-3774.

Contact Information

Primary practice address
16515 Meridian E Suite 203 B Puyallup WA 98375-6251
Fax:
Website:
Authorized official contact:
Name: Tall, Alfred Anthony RRT, RPSGT

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X LR00000073 Washington
Suppliers / Oxygen Equipment & Supplies 332BX2000X LR00000073 Washington

Profile Details

NPI number 1285870451
LBN Legal business name Blue Mountain Medical Inc
DBA Doing business as
Authorized official Tall, Alfred Anthony RRT, RPSGT
Entity Organization
Organization subpart 1 No
Enumeration date Dec 18th, 2008
Last updated Dec 18th, 2008 - about 17 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 1285870451 NPPES
Washington MEDICAID 995195

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