| Blue Mountain Family Health | |
|
1268 Bridge St Clarkston WA 99403-2219 | |
| (509) 751-5500 | |
| (509) 751-1059 |
| Full Name | Blue Mountain Family Health |
|---|---|
| Speciality | Family Medicine |
| Location | 1268 Bridge St, Clarkston, Washington |
| Authorized Official Name and Position | Kevin James Black (ADMINISTRATOR) |
| Authorized Official Contact | 5097515500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Mountain Family Health 1268 Bridge St Clarkston WA 99403-2219 Ph: (509) 751-5500 | Blue Mountain Family Health 1268 Bridge St Clarkston WA 99403-2219 Ph: (509) 751-5500 |
| NPI Number | 1679649248 |
|---|---|
| Provider Enumeration Date | 11/27/2006 |
| Last Update Date | 05/21/2024 |
| Medicare PECOS PAC ID | 1153346028 |
|---|---|
| Medicare Enrollment ID | O20051010000809 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679649248 | NPI | - | NPPES |
| 7130354 | Medicaid | WA | |
| 807278700 | Medicaid | ID | |
| 80745000 | Medicaid | ID | |
| 8439333 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD00045393 (Washington) | Primary |
| Provider Name | Elizabeth Lefft Black |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578556833 PECOS PAC ID: 1658396361 Enrollment ID: I20051012000238 |
Richard J. Weiland, Jr., M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1207 Evergreen Ct, Clarkston, WA 99403 Phone: 509-758-0006 Fax: 509-758-2607 | |
Healing Wings International Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1221 Highland Ave, Clarkston, WA 99403 Phone: 509-758-5511 | |
Optimal Health And Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1267 Belmont Way, Clarkston, WA 99403 Phone: 509-780-1132 Fax: 509-758-8096 | |
Larsen Gastroenterology, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 625 6th St, Clarkston, WA 99403 Phone: 509-758-2200 | |
Donald J. Greggain, M.d. Ps Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1271 Highland Ave, Clarkston, WA 99403 Phone: 509-751-1500 Fax: 509-751-1504 | |
Stat Med Solutions Pc Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1221 Highland Ave, Clarkston, WA 99403 Phone: 509-758-5511 | |
Gage Inpatient Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1221 Highland Ave, Clarkston, WA 99403 Phone: 208-799-5522 |