institution
Blue Mountain Medical Goup, Pllc
Rural Health Clinic/Center in Walla Walla, Washington
NPI 1154306884

Blue Mountain Medical Goup, Pllc is a Rural Health Clinic/Center based in Walla Walla, WA and is specialized in Rural Health. Blue Mountain Medical Goup, Pllc practices in Walla Walla, WA. The NPI Number for Blue Mountain Medical Goup, Pllc is 1154306884 and holds a License No. (Washington).

The current practice location address for Blue Mountain Medical Goup, Pllc is 1111 S 2Nd Ave, Walla Walla, WA and can be reached out via phone at 509-522-0100 and via fax at 509-527-8010.

Location: 1111 S 2Nd Ave, Walla Walla, WA, 99362-4118
institution
Provider Profile Details
NPI Number
1154306884
Provider Name
Blue Mountain Medical Goup, Pllc
Credential
Provider Entity Type
Organization
Address
1111 S 2Nd Ave, Walla Walla, WA, 99362-4118
Phone Number
509-522-0100
Fax Number
509-527-8010
Provider Enumeration Date
12/15/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00615 05 OR
287665 05 OR
7103260 05 WA
71121170 05 WA
institution
Provider Business Practice Location Address Details
Address
1111 S 2Nd Ave
City
State
Zip
99362-4118
Phone Number
509-522-0100
Fax Number
509-527-8010
person
Provider Business Mailing Address Details
Address
1111 S 2Nd Ave
City
State
Zip
99362-4118
Phone Number
509-522-0100
Fax Number
509-527-8010
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
License No.
(Washington)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
License No.
()
Definition
Definition to come...
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