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BLUE MOUNTAIN MEDICAL CLINIC, PLLC
NPI 1023538758
Family Medicine in Middlesboro, KY

Active since June 23, 2017
1814 CUMBERLAND AVE, MIDDLESBORO, KY 40965(606) 242-2519(606) 242-2520 Get Directions Write a Review

NPPES record last updated: June 26, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 26, 2018, Jun 23, 2017 (2 updates tracked since 2017).

About Blue Mountain Medical Clinic, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLUE MOUNTAIN MEDICAL CLINIC, PLLC (NPI 1023538758) is a healthcare organization registered as a family medicine in Middlesboro, Kentucky and active in the NPI registry since June 2017. The organization lists Tina Poore, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1023538758
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBLUE MOUNTAIN MEDICAL CLINIC, PLLC
Location Address1814 CUMBERLAND AVEMiddlesboro, KY 40965
Mailing Address1814 Cumberland AveMiddlesboro, KY 40965-1229 · (606) 242-2519 · Fax (606) 242-2520
Phone(606) 242-2519
Fax(606) 242-2520
Organization SubpartYesParent: Life & Health Services
Authorized OfficialTina PooreOffice Manager · (606) 242-2519
Enumeration DateJune 23, 2017
Last NPPES UpdateJune 26, 20182 updates tracked since enumeration
✔ NPI 1023538758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1814 CUMBERLAND AVE, Middlesboro, KY 40965
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SHAHZAD SHAHMALAK MD
Psychiatry & Neurology (Psychiatry)
1814 CUMBERLAND AVE
MIDDLESBORO, KY 40965
Bell County (606) 242-2519
LARRA WILLIAMS LCSW
Social Worker (Clinical)
1814 CUMBERLAND AVE
MIDDLESBORO, KY 40965
Bell County (606) 242-2519
APPALACHIAN LICENSED PSYCHIATRIC SERVICES, PLLC
Psychiatry & Neurology (Psychiatry)
1814 CUMBERLAND AVE
MIDDLESBORO, KY 40965
Bell County (606) 242-2519
CORNERSTONE DIAGNOSTICS INC
Clinical Medical Laboratory
1814 CUMBERLAND AVE
MIDDLESBORO, KY 40965
Bell County (877) 412-8330
REHABILITATION DRUG SERVICES INC
Psychiatry & Neurology (Psychiatry)
1814 CUMBERLAND AVE
MIDDLESBORO, KY 40965
Bell County (606) 242-2519

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blue Mountain Medical Clinic, PLLC's NPI number?

The NPI number for Blue Mountain Medical Clinic, PLLC is 1023538758. It was assigned to this organization in the NPPES registry on June 23, 2017.

Where is Blue Mountain Medical Clinic, PLLC located?

Blue Mountain Medical Clinic, PLLC is located at 1814 Cumberland Ave, Middlesboro, KY 40965. The listed phone number is (606) 242-2519.

What is Blue Mountain Medical Clinic, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Blue Mountain Medical Clinic, PLLC was last updated on June 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.