BLUE MOUNTAIN HEART TO HEART NPI 1003008046

Case Management in Walla Walla, WA

About BLUE MOUNTAIN HEART TO HEART

Blue Mountain Heart To Heart is a provider in Walla Walla, WA. The NPI number assigned to this provider is 1003008046. The practitioner's primary taxonomy code is Case Management (251B00000X). The provider is registered as an organization and their NPI record was last updated 10 years ago.

NPI1003008046 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameBLUE MOUNTAIN HEART TO HEART
Provider Location Address2330 EASTGATE ST STE 105 WALLA WALLA, WA 99362 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing AddressPO BOX 40 WALLA WALLA, WA 99362 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date08-14-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date08-14-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

BLUE MOUNTAIN HEART TO HEART
2330 EASTGATE ST STE 105
WALLA WALLA, WA
ZIP 99362
Phone: (509) 529-4744
Get Directions

Mailing Address

BLUE MOUNTAIN HEART TO HEART
PO BOX 40
WALLA WALLA, WA
ZIP 99362
Phone:

Primary Taxonomy

Taxonomy Code251B00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationCase Management
TypeAgencies
Taxonomy DescriptionAn organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.

Authorized Official

Authorized Official Name JILL DICKEY MSW Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitleCASE MANAGER
Authorized Official Phone(509) 529-4744

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
7405905MEDICAID (05)WA

Map Location


BLUE MOUNTAIN HEART TO HEART address is 2330 EASTGATE ST STE 105 WALLA WALLA, WA 99362