BLUE MOUNTAIN MEDICAL INC (NPI# 1285870451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285870451 |
| Entity Type | Organization |
| Organization Name | BLUE MOUNTAIN MEDICAL INC |
| Practice Address |
16515 Meridian E Suite 203 B Puyallup WA 98375-6251 |
| Mailing Address |
7320 216th St Sw Suite #30 Edmonds WA 98026-8006 |
| Practice Telephone | 2538412700 |
| Mailing Telephone | 4256733773 |
| Mailing Fax Number | 4256733776 |
| Enumeration Date | 2008-12-18 |
| Last Update Date | 2008-12-18 |
| 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 |
|---|---|---|---|---|---|
| N | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
LR00000073 | WA | Suppliers |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | LR00000073 | WA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 995195 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235398363 | Blue Mountain Medical Inc | Durable Medical Equipment & Medical Supplies | 17700 Se 272nd St, Suite #350, Covington, WA 98042-4951 | 2008-06-04 |
| 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 |
16515 MERIDIAN E SUITE 203 B |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98375-6251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396738258 | Kristin K O'brien | Massage Therapist | 16515 Meridian E, Ste 103b, Puyallup, WA 98375-6251 | 2005-08-25 |
| 1033757620 | Jamie M Nelson | Massage Therapist | 16515 Meridian E, Puyallup, WA 98375-6251 | 2019-12-15 |
| 1255788469 | Erica Gold | Physical Therapist | 16515 Meridian E, Ste 202b, Puyallup, WA 98375-6251 | 2016-05-17 |
| 1740636679 | Anahi M Hurtado | Mechanotherapist | 16515 Meridian E, 103b, Puyallup, WA 98375-6251 | 2016-05-10 |
| 1699143057 | Performance Modalities Inc | Durable Medical Equipment & Medical Supplies | 16515 Meridian E, Suite 203b, Puyallup, WA 98375-6251 | 2015-09-02 |
| 1033585260 | Michael Manning | Physical Therapist | 16515 Meridian E, Ste 202b, Puyallup, WA 98375-6251 | 2015-08-11 |
| 1104208040 | Ryan Summers | Physical Therapist | 16515 Meridian E, Suite 202b, Puyallup, WA 98375-6251 | 2015-06-27 |
| 1528446200 | Kimberly Tevis | Specialist/Technologist | 16515 Meridian E, Suite 202b, Puyallup, WA 98375-6251 | 2015-05-13 |
| 1669878336 | Phillip Daniel Scalise | Physical Therapist | 16515 Meridian E, Ste 202b, Puyallup, WA 98375-6251 | 2014-11-07 |
| 1205244258 | Danielle Nicole Dillion | Massage Therapist | 16515 Meridian E, Suite 103b, Puyallup, WA 98375-6251 | 2014-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673817 | Cheryl Dann | Registered Nurse | 7224 Pacific Highway E, Milton, WA 98375 | 2019-11-07 |
| 1326554601 | Jasmanpreet Kaur Sidhu | Nurse's Aide | 17003 83rd Ave Cte, Puyallup, WA 98375 | 2017-12-21 |
| 1295257137 | Rafael Martin Morones IIi | Registered Nurse | 17802 87th Ave E, Puyallup, WA 98375 | 2017-07-12 |
| 1467990556 | Tessa D Parker | Massage Therapist | 17528 Meridian E Suite 207, Puyallup, WA 98375 | 2017-02-08 |
| 1144674326 | June Park | Social Worker | 9414 185th Street Ct E, Puyallup, WA 98375 | 2016-04-14 |
| 1417384348 | Washington Dental Corporation, PC | Dentist | 16810 Meridian East Suite J107, Puyallup, WA 98375 | 2013-10-10 |
| 1861825663 | L&t Chinese Medicine LLC | Acupuncturist | 16515 Meridian E., Ste. 200b, Puyallup, WA 98375 | 2013-08-15 |
| 1508110081 | Jennifer Gillings | Speech-Language Pathologist | 17418 74th Ave E, Puyallup, WA 98375 | 2012-11-05 |
| 1275887267 | Andrew Nelson Smith | Pharmacist | 14308 Meridian Ave E., Puyallup, WA 98375 | 2012-10-30 |
| 1538440714 | Zorawar Singh | Dentist | 16810 Meridian E Suite J107, Puyallup, CA 98375 | 2011-09-01 |
| Find all providers in zip 98375 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659926236 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 708 Shaw Rd, Puyallup, WA 98372-5276 | 2019-08-09 |
| 1568848521 | Northwest Medical, LLC. | Durable Medical Equipment & Medical Supplies | 929 E Main Ste 330, Puyallup, WA 98372-3116 | 2015-07-31 |
| 1770911398 | Good Night Medical of Ohio, LLC | Durable Medical Equipment & Medical Supplies | 16515 Meridian E Ste 203a, Puyallup, WA 98375-6251 | 2013-10-16 |
| 1023458593 | Millennium Medical Supply | Durable Medical Equipment & Medical Supplies | 12815 Canyon Rd E Ste R, Puyallup, WA 98373-5104 | 2013-06-28 |
| 1457629644 | Multicare Health Systems | Durable Medical Equipment & Medical Supplies | 1450 5th St Se Ste 1200, Puyallup, WA 98372-4688 | 2011-12-02 |
| 1346498797 | Washington Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 10302 156th St E, Puyallup, WA 98374-9321 | 2008-08-28 |
| 1629254560 | Qcts, Inc. | Durable Medical Equipment & Medical Supplies | 1411 Firland Dr, Puyallup, WA 98371-6623 | 2008-01-10 |
| 1033317227 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 9502 176th Street East, Puyallup, WA 98375-9300 | 2007-07-10 |
| 1346444213 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 14308 Meridian E, Puyallup, WA 98373-5613 | 2007-06-13 |
| 1578628541 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 16502 Meridian E, Puyallup, WA 98375-2515 | 2006-12-27 |
| Find all providers in PUYALLUP | ||||
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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.