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

NPI Status: Active since October 22, 2020

Contact Information

2330 EASTGATE ST STE 105
WALLA WALLA, WA
ZIP 99362
Phone: (509) 973-5788

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Group Taxonomy
Insurance Plans Accepted
Secondary Locations
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
Mental Health (Including Community Menta...

About BLUE MOUNTAIN HEALTH COOPERATIVE

This page provides the complete NPI Profile along with additional information for Blue Mountain Health Cooperative, a provider established in Walla Walla, Washington operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1245839919 assigned on October 2020. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Alayna Brinton Licsw (Director)

NPI: 1245839919
Provider Name: BLUE MOUNTAIN HEALTH COOPERATIVE
Entity Type: Organization
Location Address: 2330 EASTGATE ST STE 105 WALLA WALLA, WA 99362
Location Phone: (509) 973-5788
Mailing Address: 2580 CHISHOLM CT WALLA WALLA, WA 99362
Mailing Phone: (509) 840-4618
Mailing Fax
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 10-22-2020
Last Update Date: 07-23-2021
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Location Map

Secondary Locations

1103 S 2nd Ave
Walla Walla, WA 99362
(509) 973-5788

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Clinic/Center Mental Health (Including Community Mental Health Center)
Taxonomy Code: 261QM0801X
Type: Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization
1	101YM0800X	Behavioral Health & Social Service Providers	Counselor Mental Health
2	104100000X	Behavioral Health & Social Service Providers	Social Worker
3	1041C0700X	Behavioral Health & Social Service Providers	Social Worker Clinical
4	261QM0850X	Ambulatory Health Care Facilities	Clinic/Center Adult Mental Health
5	261QM0855X	Ambulatory Health Care Facilities	Clinic/Center Adolescent and Children Mental Health
6	363LP2300X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner Primary Care

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: ALAYNA BRINTON LICSW
Authorized Official Title: DIRECTOR
Authorized Official Phone: (509) 840-4618

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
2168971	MEDICAID (05)	WA

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	2	4	5	8	3	9	9	1	9
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	2	8	5	16	3	18	9	2
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 8 + 5 + 1 + 6 + 3 + 1 + 8 + 9 + 2 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 9									9

The NPI number 1245839919 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.