BLUE MOUNTAIN MEDICAL INC (NPI# 1235398363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235398363 |
Entity Type | Organization |
Organization Name | BLUE MOUNTAIN MEDICAL INC |
Practice Address |
17700 Se 272nd St Suite #350 Covington WA 98042-4951 |
Mailing Address |
7320 216th St Sw Suite #30 Edmonds WA 98026-8006 |
Practice Telephone | 2533727325 |
Practice Fax Number | 2533727321 |
Mailing Telephone | 4256733773 |
Mailing Fax Number | 4256733776 |
Enumeration Date | 2008-06-04 |
Last Update Date | 2008-06-19 |
Authorized Official Name | MR. ALFRED ANTHONY TALL (PRESIDENT) |
Authorized Official Telephone | 4256733774 |
Authorized Official Credential | RRT RPSGT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
LR00000073 | WA | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 995195 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285870451 | Blue Mountain Medical Inc | Durable Medical Equipment & Medical Supplies | 16515 Meridian E, Suite 203 B, Puyallup, WA 98375-6251 | 2008-12-18 |
1487812012 | Blue Mountain Medical Inc | Durable Medical Equipment & Medical Supplies | 1530 S Union Ave, Suite 10, Tacoma, WA 98405-1954 | 2008-05-30 |
1043380355 | Blue Mountain Medical Inc | Durable Medical Equipment & Medical Supplies | 7320 216th St Sw, Suite 30, Edmonds, WA 98026-8006 | 2006-11-08 |
Street Address |
17700 SE 272ND ST SUITE #350 |
City | COVINGTON |
State | WA |
Zip Code | 98042-4951 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023012606 | Helen U. Lim | Anesthesiology | 17700 Se 272nd St, Ste 175, Covington, WA 98042-4951 | 2005-06-10 |
1982260436 | Jennifer White | Pharmacist | 17700 Se 272nd St, Covington, WA 98042-4951 | 2019-05-09 |
1700383213 | Multicare Health System | Durable Medical Equipment & Medical Supplies | 17700 Se 272nd St, Covington, WA 98042-4951 | 2018-04-11 |
1326564071 | Multicare Health System | General Acute Care Hospital | 17700 Se 272nd St, Covington, WA 98042-4951 | 2017-08-15 |
1457889461 | Lauren Kiana Riley | Physician Assistant | 17700 Se 272nd St, Covington, WA 98042-4951 | 2017-06-02 |
1063960573 | Melissa Torkelson | Physical Therapist | 17700 Se 272nd St, Covington, WA 98042-4951 | 2016-09-13 |
1912375106 | Laryssa Nicole Smith | Physical Therapist | 17700 Se 272nd St, Suite 110, Covington, WA 98042-4951 | 2015-09-04 |
1972983146 | Mary Elizabeth Platt | Hospitalist | 17700 Se 272nd St, Covington, WA 98042-4951 | 2015-06-03 |
1578941522 | Kale Quackenbush | Family Medicine | 17700 Se 272nd St, Covington, WA 98042-4951 | 2015-05-11 |
1679965727 | Elizabeth Jeanmarie Corwin | Physical Therapist | 17700 Se 272nd St, Covington, WA 98042-4951 | 2015-02-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609483239 | Baptista Kwok Dds1 Pllc | Dentist | 17265 Se Wax Rd., #101, Covington, WA 98042 | 2020-09-28 |
1609489640 | Hua Wang | Massage Therapist | 27641 Covington Way Se, Ste 1, Covington, WA 98042 | 2020-08-28 |
1417416678 | Anatoliy Voznyarskiy | Behavior Technician | 27023 164th. Ave Se, Covington, WA 98042 | 2019-03-18 |
1639693393 | Michele Shilley | Registered Nurse | 24519 185th Pl Se, Covington, WA 98042 | 2017-08-02 |
1104281526 | Kimberly Destefano | Licensed Practical Nurse | 27446 151st Pl Se, Kent, WA 98042 | 2015-12-30 |
1508243403 | Dora Arralde | Registered Nurse | 14620 S.e. 244th St, Kent, WA 98042 | 2015-04-29 |
1609299486 | Mei Ing Yau | Registered Nurse | 14311 Se 243rd St, Kent, WA 98042 | 2014-01-29 |
1043594658 | Karen Ann Little | Specialist | 28027 140th Lane Se, Kent, WA 98042 | 2011-09-30 |
1326327073 | Julie A Taylor | Occupational Therapy Assistant | 15630 Se 262nd Pl, Covington, WA 98042 | 2011-08-12 |
1720380397 | Blanka Karasek | Pharmacist | 17023 Se 272nd St., Safeway Pharmacy, Covington, WA 98042 | 2010-12-02 |
Find all providers in zip 98042 |
Taxonomy Code | 332BX2000X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
Specialization | Oxygen Equipment & Supplies |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558595157 | Aerosol Plus, Inc. | Durable Medical Equipment & Medical Supplies | 19295 N 3rd St, Suite 2, Covington, LA 70433-8897 | 2009-05-11 |
1851650915 | Copper Creek Medical, Inc. | Durable Medical Equipment & Medical Supplies | 17700 Se 272nd St, Suite 350, Covington, WA 98042-4951 | 2012-05-10 |
1003069881 | Bay & Belle LLC | Durable Medical Equipment & Medical Supplies | 376 W Main St, Covington, VA 24426-1517 | 2008-10-24 |
1790950251 | Lisa G. Maynard | Durable Medical Equipment & Medical Supplies | 376 W Main St, Covington, VA 24426-1517 | 2008-04-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356955249 | Olympia Respiratory Services LLC | Durable Medical Equipment & Medical Supplies | 333 Fair St, Centralia, WA 98531-8906 | 2020-09-08 |
1831715739 | Yangchen Inc | Durable Medical Equipment & Medical Supplies | 9215 151st Ave Ne, Redmond, WA 98052-3511 | 2020-06-17 |
1023648425 | Performance Modalities Inc | Durable Medical Equipment & Medical Supplies | 230 S 15th St Ste B, Mount Vernon, WA 98274-4570 | 2020-01-24 |
1316591217 | Martin Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 8079 E Main Street, Suite 101, Port Orchard, WA 98366 | 2019-07-29 |
1457810822 | Sleep Orbit | Durable Medical Equipment & Medical Supplies | 16201 E Indiana Ave Ste 1111, Spokane Valley, WA 99216-2838 | 2019-03-15 |
1588196794 | Arris Health Services LLC | Durable Medical Equipment & Medical Supplies | 4002 Tacoma Mall Blvd, Suite 204, Tacoma, WA 98409-7702 | 2017-03-28 |
1720523103 | Pinnacle Healthcare Center, Pllc | Durable Medical Equipment & Medical Supplies | 2309 W. Dolarway Rd, Ste. 2, Ellensburg, WA 98926-8087 | 2016-12-21 |
1629444047 | Sound Oxygen Service LLC | Durable Medical Equipment & Medical Supplies | 18905 33rd Ave W Ste 111, Lynnwood, WA 98036-4716 | 2015-08-19 |
1407231988 | Valuplus Home Health Care Center, Inc | Durable Medical Equipment & Medical Supplies | 1737 N Wenatchee Ave, Suite D, Wenatchee, WA 98801-1189 | 2015-07-24 |
1720496912 | Olympia Respiratory Services LLC | Durable Medical Equipment & Medical Supplies | 954 Anderson Dr Ste 109, Aberdeen, WA 98520-1001 | 2014-07-31 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.