Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oxygen Equipment & Supplies |
332BX2000X | B1 | Oxygen supplier |
| NPI # | 1235398363 |
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| LBN Legal business name | BLUE MOUNTAIN MEDICAL INC | ||||||||
| Authorized official | ALFRED TALL - (PRESIDENT) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 06/04/2008 | ||||||||
| Last updated | 06/19/2008 - About 18 years ago | ||||||||
| Identifiers |
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