Blue Mountain Family Health PLLC
NPI 1679649248 · Family Medicine Physician · Clarkston, WA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Blue Mountain Family Health PLLC is a Family Medicine Physician organization in Clarkston, WA (NPI 1679649248).
Provider details
- NPI number
- 1679649248
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kevin Black, Administrator(509) 751-5500
- License
- MD00045393 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Blue Mountain Family Health
Registry dates
- Enumerated
- 2006-11-27
- Last updated
- 2024-05-21
- Certified
- 2024-05-21
Frequently asked questions
- What is Blue Mountain Family Health PLLC's NPI number?
- Blue Mountain Family Health PLLC's National Provider Identifier (NPI) is 1679649248, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blue Mountain Family Health PLLC?
- Blue Mountain Family Health PLLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Blue Mountain Family Health PLLC located?
- Blue Mountain Family Health PLLC's practice location on file with NPPES is 1268 Bridge St, Clarkston, WA 99403-2219.
- What is Blue Mountain Family Health PLLC's phone number?
- The practice phone number listed in the NPPES registry for Blue Mountain Family Health PLLC is (509) 751-5500.
- Does Blue Mountain Family Health PLLC accept Medicare?
- Blue Mountain Family Health PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Blue Mountain Family Health PLLC?
- The authorized official listed on Blue Mountain Family Health PLLC's NPPES record is Kevin Black, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blue Mountain Family Health PLLC's NPI active?
- Yes — Blue Mountain Family Health PLLC's NPI (1679649248) is active in the NPPES registry as of the last update on 2024-05-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.