BLUE MOUNTAIN FAMILY MEDICINE CLINIC – NPI #1235113069
Clinic/Center

BLUE MOUNTAIN FAMILY MEDICINE CLINIC is an AHC clinic located in BLUE MOUNTAIN, MS. NPPES has assigned the NPI number 1235113069 to BLUE MOUNTAIN FAMILY MEDICINE CLINIC on December 05, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QR1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Rural Health

The NPI profile was previously updated about 19 years ago on Nov 28, 2007. 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 MOUNTAIN FAMILY MEDICINE CLINIC below.

NPI Profile for
BLUE MOUNTAIN FAMILY MEDICINE CLINIC

NPI Number
1235113069
Enumeration Date

(more than 20 years 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 MOUNTAIN FAMILY MEDICINE CLINIC
Primary location
124 NORTH GUYTON
BLUE MOUNTAIN, MS 38610
Phone: (662) 685-4700 Fax: (662) 685-9999
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
THOMAS BARKLEY
VP
Phone: (662) 685-4700
Updated
Identifiers

Identifiers for BLUE MOUNTAIN FAMILY MEDICINE CLINIC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMS09014529
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
261QR1300X
- Clinic/Center / Rural Health (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.