Blue Mountain Heart to Heart

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

BLUE MOUNTAIN HEART TO HEART

Practice address

2330 Eastgate St Ste 105
Walla Walla, WA 99362-1559

Phone

(509) 529-4744

NPI assigned

Aug 14, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jill Dickey, MSW

Title

Case Manager

Phone

(509) 529-4744

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert J Tabacco

  • Case Manager/Care Coordinator
  • Walla Walla, WA
  • NPI 1053113035
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187049600000",
    "number": "1003008046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993620201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 EASTGATE ST STE 105",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993621559",
            "telephone_number": "509-529-4744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE MOUNTAIN HEART TO HEART",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-14",
        "last_updated": "2007-08-14",
        "status": "A",
        "authorized_official_last_name": "DICKEY",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "CASE MANAGER",
        "authorized_official_telephone_number": "509-529-4744",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7405905",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roger K Blood
• Blue Mountain Action Council
• Blue Mountain Eye PLLC
• Blue Mountain Genetics Clinic, PLLC
• Blue Mountain Health Cooperative
• Blue Mountain Industries LLC
• Blue Mountain Medical Goup, PLLC
• Blue Mountain Midwifery & Women'S Health Care
• Blue MTN Orthopaedics
• Eileen Blute

• Case Management Agency in Walla Walla, WA
• Providers in Walla Walla, WA by specialty
• Case Management Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.