Blue Mountain Family Health PLLC
NPI 1679649248ActiveOrganization· Family Medicine· Clarkston, WA
Family Medicine in Clarkston, Washington, registered in NPPES in November 2006. The authorized official on file is Kevin James Black, Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1679649248 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 27, 2006 |
| Last updated in NPPES | May 21, 2024 |
| Certified by provider | May 21, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | MD00045393 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WA) |
|---|
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