| Blue River Health & Wellness, Pllc | |
|
1520 E Hammer Ln Ste 104 Fort Mohave AZ 86426-6665 | |
| (602) 315-0211 | |
| Not Available |
| Full Name | Blue River Health & Wellness, Pllc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 1520 E Hammer Ln Ste 104, Fort Mohave, Arizona |
| Authorized Official Name and Position | Nicole Ann Roberts (OWNER) |
| Authorized Official Contact | 9285772727 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue River Health & Wellness, Pllc Po Box 10739 Fort Mohave AZ 86427-0739 Ph: (928) 577-2727 | Blue River Health & Wellness, Pllc 1520 E Hammer Ln Ste 104 Fort Mohave AZ 86426-6665 Ph: (602) 315-0211 |
| NPI Number | 1356073852 |
|---|---|
| Provider Enumeration Date | 06/24/2022 |
| Last Update Date | 06/24/2022 |
| Medicare PECOS PAC ID | 8325429350 |
|---|---|
| Medicare Enrollment ID | O20220721001592 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356073852 | NPI | - | NPPES |
| 23375081 | Other | AZ | CORPORATION ID |
| Provider Name | Marie B Moran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386159440 PECOS PAC ID: 6608136080 Enrollment ID: I20180202000913 |
| Provider Name | Nicole A Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972158624 PECOS PAC ID: 3678901790 Enrollment ID: I20200723000990 |
| Provider Name | Rachel Lynn Blasingame |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326791005 PECOS PAC ID: 9931594678 Enrollment ID: I20220913003368 |
| Provider Name | Jessica Mormann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619626363 PECOS PAC ID: 4789069097 Enrollment ID: I20220921003775 |
Mohave Family Healthcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1611 E Joy Ln, Fort Mohave, AZ 86426 Phone: 928-768-9496 Fax: 928-768-1943 | |
Kaye A Cunningham Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5653 Hwy 95, Suite A, Fort Mohave, AZ 86426 Phone: 928-768-2558 Fax: 928-788-2039 | |
Valley View Physician Practices Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1520 E Hammer Ln Ste 101, Fort Mohave, AZ 86426 Phone: 928-768-4333 Fax: 928-768-4338 | |
Grapevine Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5300 S Highway 95, Suite H, Fort Mohave, AZ 86426 Phone: 928-788-6060 Fax: 928-788-6062 | |
Valley View Physician Practices Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1520 E Hammer Ln Ste 109, Fort Mohave, AZ 86426 Phone: 928-788-4949 Fax: 928-788-4953 | |
Richard E Hendrix, Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1611 Joy Ln, Fort Mohave, AZ 86426 Phone: 928-788-1900 Fax: 928-788-2048 |