BLUE CREEK MEDICAL – NPI #1285279091
Psychiatry & Neurology

Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).

Health Care Provider Taxonomy Code for Psychiatry & Neurology

BLUE CREEK MEDICAL is a psychiatry & neurologist located in TREMONTON, UT. NPPES has assigned the NPI number 1285279091 to BLUE CREEK MEDICAL on November 15, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2084N0600X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Clinical Neurophysiology

The NPI profile was last updated on Jan 02, 2025. 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 CREEK MEDICAL below.

NPI Profile for
BLUE CREEK MEDICAL

NPI Number
1285279091
Enumeration Date

(more than 6 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 CREEK MEDICAL
Primary location
9825 N 10800 W
TREMONTON, UT 84337-9222
Phone: (888) 851-3677 Fax: (888) 851-3671
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TERESA CARTER
DIRECTOR OF BILLING
Phone: (907) 341-9751
Updated
Certification Date
Jan 02, 2025

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
2084N0600X
- Psychiatry & Neurology / Clinical Neurophysiology (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.