BLUE HARBOR MEDICAL – NPI #1790642247
Clinic/Center

BLUE HARBOR MEDICAL is an AHC clinic located in CAMDEN, ME. NPPES has assigned the NPI number 1790642247 to BLUE HARBOR MEDICAL on January 07, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

The NPI profile was last updated on May 15, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BLUE HARBOR MEDICAL below.

NPI Profile for
BLUE HARBOR MEDICAL

NPI Number
1790642247
Enumeration Date

(about 5 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BLUE HARBOR MEDICAL
Primary location
79 ELM ST
CAMDEN, ME 04843-1905
Phone: (775) 813-6474 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
OLIVIA CARTER
OWNER
Phone: (775) 813-6474
Updated
Certification Date
May 15, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP2300X
- Clinic/Center / Primary Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.