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Contact Information

BLUE MOUNTAIN MEDICAL INC
1530 S UNION AVE
SUITE 10
TACOMA, WA98405-1954
 Phone: 253-759-2700
 Fax: 253-759-9986
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oxygen Equipment & Supplies

332BX2000X B1 Oxygen supplier
Indicates primary specialty

NPI Profile & details for BLUE MOUNTAIN MEDICAL INC

NPI # 1487812012
LBN Legal business name BLUE MOUNTAIN MEDICAL INC
Authorized official ALFRED TALL - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/30/2008
Last updated 06/19/2008 - About 18 years ago
Identifiers
WA License # LR00000073
WA Medicaid 995195
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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