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Contact Information

BLUE CREEK MEDICAL
9825 N 10800 W
TREMONTON, UT84337-9222
 Phone: 888-851-3677
 Fax: 888-851-3671
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Neurophysiology

2084N0600X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for BLUE CREEK MEDICAL

NPI Number 1285279091
LBN Legal business name BLUE CREEK MEDICAL
Authorized official TERESA CARTER - (DIRECTOR OF BILLING)
Entity Organization
Organization subpart 1 No
Enumeration date 11/15/2019
Last updated 01/02/2025 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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