| Blue Mountain Health Cooperative | |
|
2330 Eastgate St Ste 105 Walla Walla WA 99362-1559 | |
| (509) 973-5788 | |
| Not Available |
| Full Name | Blue Mountain Health Cooperative |
|---|---|
| Speciality | Clinic/Center |
| Location | 2330 Eastgate St Ste 105, Walla Walla, Washington |
| Authorized Official Name and Position | Alayna Brinton (DIRECTOR) |
| Authorized Official Contact | 5098404618 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Mountain Health Cooperative 2580 Chisholm Ct Walla Walla WA 99362-9266 Ph: (509) 840-4618 | Blue Mountain Health Cooperative 2330 Eastgate St Ste 105 Walla Walla WA 99362-1559 Ph: (509) 973-5788 |
| NPI Number | 1245839919 |
|---|---|
| Provider Enumeration Date | 10/22/2020 |
| Last Update Date | 07/23/2021 |
| Certification Date | 07/23/2021 |
| Medicare PECOS PAC ID | 6406251925 |
|---|---|
| Medicare Enrollment ID | O20210823000335 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245839919 | NPI | - | NPPES |
| 2168971 | Medicaid | WA |
| Provider Name | Erika L Rootvik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407225238 PECOS PAC ID: 5890095301 Enrollment ID: I20151204000556 |
| Provider Name | Alayna M Brinton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487002622 PECOS PAC ID: 1759673205 Enrollment ID: I20160909001068 |
| Provider Name | Donna L Braswell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538357900 PECOS PAC ID: 2961694666 Enrollment ID: I20210901000627 |
| Provider Name | Spencer Scott Hendricks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932830338 PECOS PAC ID: 8224411038 Enrollment ID: I20220811001463 |
Chiildrens Home Society Of Washington Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1612 Penny Lane, Walla Walla, WA 99362 Phone: 509-529-2130 Fax: 509-526-3640 | |
L. Jenae Henry Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1644 Plaza Way # 302, Walla Walla, WA 99362 Phone: 509-876-8065 Fax: 877-560-9702 | |
Switchback Wellness, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5 W Alder St Ste 342, Walla Walla, WA 99362 Phone: 541-371-2511 Fax: 509-769-5452 | |
Teaming For Success Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 W Chestnut St, Walla Walla, WA 99362 Phone: 509-529-5133 Fax: 509-525-3442 | |
Sara Muckler Ma Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1337 Caprio Loop, Walla Walla, WA 99362 Phone: 206-605-6329 | |
Catherine J. Mehn, Licsw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 W Main St Ste 101, Walla Walla, WA 99362 Phone: 509-301-0476 | |
Zimmerman Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 W Main St Ste 101, Walla Walla, WA 99362 Phone: 509-876-6987 |