Organization Active NPI

Bluehealth LLC

  • Clinic/Center
  • Flowood, MS
National Provider Identifier
1922735604
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
BLUEHEALTH LLC
Practice address
3545 Lakeland Dr
Flowood, MS 39232-8839
Phone
(601) 664-4724
NPI assigned
Aug 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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

Authorized official

Name
Thomas Michael Cronin, J.D.
Title
Corporate Attorney
Phone
(601) 664-4724

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

3545 Lakeland Dr
Flowood, MS 39232-8839

Mailing address

3545 Lakeland Dr
Flowood, MS 39232-8839
Phone (601) 664-4724

National Provider Directory

National Provider Directory

Locations

3545 Lakeland Dr
Flowood, MS 39232
Phone (601) 664-4724

NPI Registry JSON

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

{
    "created_epoch": "1659484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659484800000",
    "number": "1922735604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3545 LAKELAND DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392328839",
            "telephone_number": "601-664-4724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3545 LAKELAND DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392328839",
            "telephone_number": "601-664-4724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEHEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-03",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-02",
        "status": "A",
        "authorized_official_last_name": "CRONIN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CORPORATE ATTORNEY",
        "authorized_official_telephone_number": "601-664-4724",
        "authorized_official_credential": "J.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.