BLUE MOUNTAIN HEALTH COOPERATIVE
NPI 1245839919
Clinic/Center - Mental Health (Including Community Mental Health Center) in Walla Walla, WA

Active since October 22, 2020
2330 EASTGATE ST STE 105, WALLA WALLA, WA 99362(509) 973-5788 Get Directions Write a Review

NPPES record last updated: July 23, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 23, 2021, May 24, 2021, Oct 22, 2020 (3 updates tracked since 2020).

About Blue Mountain Health Cooperative NPPES

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

BLUE MOUNTAIN HEALTH COOPERATIVE (NPI 1245839919) is a healthcare organization registered as a mental health (including community mental health center) in Walla Walla, Washington and active in the NPI registry since October 2020. The organization maintains a secondary practice location in Walla Walla and lists Alayna Brinton, Director, as its authorized official.

NPPES Registry Identity

NPI1245839919
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameBLUE MOUNTAIN HEALTH COOPERATIVE
Location Address2330 EASTGATE ST STE 105Walla Walla, WA 99362-1559
Mailing Address2580 Chisholm CtWalla Walla, WA 99362-9266 · (509) 840-4618 · Fax (509) 769-5221
Organization SubpartNo
Authorized OfficialAlayna BrintonDirector · (509) 840-4618
Enumeration DateOctober 22, 2020
Last NPPES UpdateJuly 23, 20213 updates tracked since enumeration
NPPES CertifiedJuly 23, 2021
NPI 1245839919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedSocial WorkerTaxonomy 104100000X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
2330 EASTGATE ST STE 105, Walla Walla, WA 99362

Secondary Practice Location 1

Location 11103 S 2nd AveWalla Walla, WA 99362-4118 · Phone (509) 973-5788 · Fax (509) 593-4366

Other Identifiers 1

Medicaid2168971WA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

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

Case Management
2330 EASTGATE ST STE 105
WALLA WALLA, WA 99362
Social Worker
2330 EASTGATE ST STE 105
WALLA WALLA, WA 99362
Social Worker
2330 EASTGATE ST STE 105
WALLA WALLA, WA 99362
Nurse Practitioner (Psychiatric/Mental Health)
2330 EASTGATE ST STE 105
WALLA WALLA, WA 99362
Social Worker (Clinical)
2330 EASTGATE ST STE 105
WALLA WALLA, WA 99362
Social Worker (Clinical)
2330 EASTGATE ST STE 105
WALLA WALLA, WA 99362
Nurse Practitioner (Psychiatric/Mental Health)
2330 EASTGATE ST STE 105
WALLA WALLA, WA 99362

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245839919, enumerated as an "organization" on October 22, 2020.

The provider is located at 2330 EASTGATE ST STE 105 WALLA WALLA, WA 99362 and the phone number is (509) 973-5788.

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.