NPIMap

Organization Active NPI

Mountain Bloom Oriental Medicine LLC

  • Clinic/Center
  • Durango, CO
National Provider Identifier
1861724585
Registry record updated Feb 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
993 Issued in CO
Legal business name
MOUNTAIN BLOOM ORIENTAL MEDICINE LLC
Practice address
1 Mercado St
Suite 150
Durango, CO 81301-7306
Phone
(970) 769-8730
Fax
(970) 375-2207
NPI assigned
Feb 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2010

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

Authorized official

Name
Claudia G Bleth, L.AC., RNNPI 1235469362
Title
Owner/Practitioner
Phone
(970) 769-8730

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 993 CO Primary

Addresses

Primary practice location

1 Mercado St
Suite 150
Durango, CO 81301-7306

Mailing address

454 High Trails Dr
Durango, CO 81301-6302
Phone (970) 769-8730

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265241600000",
    "number": "1861724585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 HIGH TRAILS DR",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813016302",
            "telephone_number": "970-769-8730",
            "fax_number": "970-375-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MERCADO ST",
            "address_2": "SUITE 150",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017306",
            "telephone_number": "970-769-8730",
            "fax_number": "970-375-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN BLOOM ORIENTAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-04",
        "last_updated": "2010-02-04",
        "status": "A",
        "authorized_official_last_name": "BLETH",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER/PRACTITIONER",
        "authorized_official_telephone_number": "970-769-8730",
        "authorized_official_credential": "L.AC., RN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CO",
            "license": "993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; 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.