OrganizationActive
Blue Mountain Medical Clinic, PLLC
NPI 1023538758 · Family Medicine Physician · Middlesboro, KY
Provider details
- NPI number
- 1023538758
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Life & Health Services
- Organization subpart
- Yes
- Authorized official
- Tina Poore, Office Manager(606) 242-2519
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1814 Cumberland Ave
Middlesboro, KY 40965
Phone: (606) 242-2519
Fax: (606) 242-2520
Approximate (ZIP-level) locationGet directions
Mailing address
1814 Cumberland Ave
Middlesboro, KY 40965-1229
Registry dates
- Enumerated
- 2017-06-23
- Last updated
- 2018-06-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.