BLUE MOUNTAIN HOSPITAL (NPI# 1326033556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326033556 |
Entity Type | Organization |
Organization Name | BLUE MOUNTAIN HOSPITAL |
Other Organization Name | THE SUMMIT AT BLUE MOUNTAIN NURSING AND REHABILITATION CENTER |
Practice Address |
211 N. 12th Street Lehighton PA 18235-1138 |
Practice Telephone | 6103777154 |
Practice Fax Number | 6103777939 |
Mailing Telephone | 6103774732 |
Mailing Fax Number | 6103774758 |
Enumeration Date | 2005-09-14 |
Last Update Date | 2019-12-09 |
Authorized Official Name | MR. ANDREA L. ANDRAE (CFO) |
Authorized Official Telephone | 6103777003 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities | ||
Y | 314000000X | Skilled Nursing Facility | 070502 | PA | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 007467723 | 05 |
Other Name | Type Code |
---|---|
St. Luke's Hospital Gnaden Huetten Campus | Doing Business As Name - Organization |
The Summit At Blue Mountain Nursing And Rehabilitation Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558513812 | Blue Mountain Hospital | Medicare Defined Swing Bed Unit | 802 S 200 West, Suite A, Blanding, UT 84511 | 2008-10-17 |
1356354567 | Blue Mountain Hospital | Psychiatric Unit | 211 North 12th Street, Lehighton, PA 18235-1138 | 2006-08-15 |
1902825896 | Blue Mountain Hospital | Home Health | 800 Mahoning St Suite A, Lehighton, PA 18235-1246 | 2006-07-19 |
1982922514 | Blue Mountain Hospital | General Acute Care Hospital | 802 S 200 W, Blanding, UT 84511-3910 | 2010-05-06 |
1578880415 | Blue Mountain Hospital | Medicare Defined Swing Bed Unit | 802 S 200 W, Blanding, UT 84511-3910 | 2010-05-03 |
1114152527 | Blue Mountain Hospital | Clinic/Center | 802 S 200 W, Suite A, Blanding, UT 84511 | 2009-05-29 |
1831335009 | Blue Mountain Hospital | General Acute Care Hospital | 525 Iron St, Lehighton, PA 18235-1949 | 2008-12-18 |
1720245335 | Blue Mountain Hospital | General Acute Care Hospital | 211 N 12th St, Lehighton, PA 18235-1138 | 2008-05-21 |
1831399138 | Blue Mountain Hospital | Psychiatric Unit | 211 N 12th St, Lehighton, PA 18235-1138 | 2007-07-24 |
1780706093 | Blue Mountain Hospital | Rehabilitation Unit | 211 N 12th St, Lehighton, PA 18235-1138 | 2007-04-06 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Oregon Corporations, Companies and Business Names | BLUE MOUNTAIN HOSPITAL DISTRICT | 170 Ford Rd, John Day, OR 97845 |
Street Address |
211 N. 12TH STREET |
City | LEHIGHTON |
State | PA |
Zip Code | 18235-1138 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043514201 | Sheila A. Smith | Dentist | 211 N. 12th Street, Lehighton, PA 18235 | 2011-01-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689274375 | Susan Mary Featro | Counselor | Nickischer and Associates, 1738 Blakeslee Blvd. W., Lehighton, PA 18235 | 2020-10-30 |
1215452461 | Lehighton Family Dentistry LLC | Dentist | 233 S 3rd Street, Lehighton, PA 18235 | 2017-08-09 |
1093262727 | Gina Provisiero | Social Worker | 777 Blakeslee Blvd Dr E, Suite 3, Lehighton, PA 18235 | 2016-09-11 |
1487023156 | Joanne Trotman | General Acute Care Hospital | 6 Second Avenue, Lehighton, PA 18235 | 2015-09-23 |
1740698000 | Wendy Ann Hauser | Behavioral Analyst | 2112 Long Run Road, Lehighton, PA 18235 | 2014-07-30 |
1356778542 | Decosy Hercules | Family Medicine | 575 S 9th St Ste 5, Lehighton, PA 18235 | 2013-10-02 |
1891046348 | Chaya Shuchat | Nurse Practitioner | 281 N 12th St Ste E, Lehighton, PA 18235 | 2012-09-24 |
1316297096 | Evelyn Mccullian | Speech-Language Pathologist | 428 South 7 Street, Lehighton, PA 18235 | 2012-09-11 |
1639487242 | Wal-mart Stores East Lp | Technician/Technologist | 1731 Blakeslee Blvd Dr E, Lehighton, PA 18235 | 2010-09-16 |
1912132762 | Wendy S. Lawson | Psychologist | 811 Blakeslee Boulevard Drive East, Suite 80, Lehighton, PA 18235 | 2009-05-22 |
Find all providers in zip 18235 |
Taxonomy Code | 314000000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Skilled Nursing Facility |
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598765489 | Mahoning Valley Convalescent Home, Inc. | Skilled Nursing Facility | 397 Hemlock Dr, Lehighton, PA 18235-9712 | 2005-07-21 |
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1922626290 | Brsi, Lp | Skilled Nursing Facility | 303 Walnut St Fl 7, Harrisburg, PA 17101-1825 | 2020-07-13 |
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1184242182 | Conestoga View Snf Operations LLC | Skilled Nursing Facility | 900 E King Street, Lancaster, PA 17602-3272 | 2020-07-07 |
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1508484502 | Timber Ridge Snf Operations LLC | Skilled Nursing Facility | 1555 East End Boulevard, Plains Twp, PA 18702-7927 | 2020-07-07 |
1205456704 | Embassy Sharon, LLC | Skilled Nursing Facility | 959 E. State Street, Sharon, PA 16146 | 2020-04-24 |
1952940785 | Newport Meadows Health and Rehabilitation Center LLC | Skilled Nursing Facility | 41 Newport Avenue, Christina, PA 17509-1305 | 2019-12-26 |
1851954176 | Silvercare Skilled Nursing LLC | Skilled Nursing Facility | 2600 W 9th St Unit A, Chester, PA 19013-2040 | 2019-04-22 |
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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.