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Contact Information

BLUE MOUNTAIN REGENERATIVE MEDICINE PLLC
124 E MAIN ST.
FREDERICKSBURG, PA17026-0152
 Phone: 717-507-4469
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Medical Specialty

261QM2500X
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for BLUE MOUNTAIN REGENERATIVE MEDICINE PLLC

NPI # 1205434370
LBN Legal business name BLUE MOUNTAIN REGENERATIVE MEDICINE PLLC
Authorized official JAMES MCKINNEY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/12/2020
Last updated 10/15/2020 - About 6 years 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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