BLUE CREEK MEDICAL


Address: 9825 N 10800 W, Tremonton, UT 84337-9222
Phone: 8888513677

BLUE CREEK MEDICAL (NPI# 1285279091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285279091
Entity Type Organization
Organization Name BLUE CREEK MEDICAL
Practice Address 9825 N 10800 W
Tremonton
UT 84337-9222
Practice Telephone 8888513677
Practice Fax Number 8888513671
Mailing Telephone 8888513677
Mailing Fax Number 8888513671
Enumeration Date 2019-11-15
Last Update Date 2019-11-15
Authorized Official Name AISHA BAILEY (BILLING DIRECTOR)
Authorized Official Telephone 8888513677
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0600X Psychiatry & Neurology
Specialization: Clinical Neurophysiology
Allopathic & Osteopathic Physicians

Office Location

Street Address 9825 N 10800 W
City TREMONTON
State UT
Zip Code 84337-9222

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568952190 Bear River Valley Medical LLC Clinic/Center 9825 N 10800 W, Tremonton, UT 84337-9222 2018-05-18
1235777046 Morgan Farnsworth Technician/Technologist 9825 N 10800 W, Tremonton, UT 84337-9222 2019-12-12
1790321404 Samantha Brant Psychiatry & Neurology 9825 N 10800 W, Tremonton, UT 84337-9222 2019-11-18
1346894771 Schyler Namanny Technician/Technologist 9825 N 10800 W, Tremonton, UT 84337-9222 2019-07-24
1447718754 Anthony Farlaino Technician/Technologist 9825 N 10800 W, Tremonton, UT 84337-9222 2019-03-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134563760 Jm Gauruder LLC Chiropractor 805 W Main St., Suite C, Tremonton, UT 84337 2013-04-25
1366717159 Sean C Horsley Social Worker 905 N 1000 E, Tremonton, UT 84337 2012-03-13
1740420835 Clifton Duane Kerr General Practice 725 West 1000 North, Tremonton, UT 84337 2009-03-02
1780877191 Todd Miller Family Medicine 935 S 1000 W, Tremonton, UT 84337 2007-08-20
1982754081 Bronson C Schultz Dentist 525 N 400 W, Tremonton, UT 84337 2007-01-11
1508423252 Jeffrey David Zilles Optometrist 495 W 600 N, Tremonton, UT 84337 2019-05-28
1366828642 Shopko Stores Operating Co., LLC Durable Medical Equipment & Medical Supplies 440 W Main St, Tremonton, UT 84337 2015-08-10
1720330228 Kristina C Gerlach Social Worker 440 W 600 N, Tremonton, UT 84337 2012-10-08
1295818664 Dee Duncan Psychologist 881 N Tremont St, Tremonton, UT 84337-1025 2006-10-21
1730558792 Sarah Hurst Specialist/Technologist 720 N 350 E, Tremonton, UT 84337-1040 2015-09-21
Find all providers in zip 84337

Taxonomy Information

Taxonomy Code 2084N0600X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Clinical Neurophysiology

Taxonomy Definition

Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1285867275 Hansann & Associates Psychiatry & Neurology 1470 S 500 E, Kaysville, UT 84037-3033 2009-08-25
1871679787 Kevin Scott Mochizuki Psychiatry & Neurology 428 S Douglas St Apt 1, Salt Lake City, UT 84102 2006-10-31
1619965944 Navin K Varma Psychiatry & Neurology 1452 E Ridgeline Dr #151, Ogden, UT 84405-4975 2005-10-11
1093710188 Stephen Peters Psychiatry & Neurology 1157 N 300 W, Provo, UT 84604-6124 2005-06-16
1508098906 Timber Ridge Holdings LLC Psychiatry & Neurology 448 E 5350 S Ste B, Washington Terrace, UT 84405-5415 2009-08-18
1891802591 Tawnya M. Constantino Psychiatry & Neurology 5171 Cottonwood St, Suite 810, Murray, UT 84107-5704 2006-08-25

Competitor

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City TREMONTON
Zip Code 84337

Improve Information

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Dataset Information

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.

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