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Organization
BLUE MOUNTAIN HOSPITAL DISTRICT
Active
Organization
BLUE MOUNTAIN HOSPITAL DISTRICT
Active
Other names
BLUE MOUNTAIN NURSING HOME
Organization subpart
No
Provider details
NPI number
Authorized official
MISTY ROBERTSON (CEO)
(541) 575-4151
Entity
Organization
Contact information
Practice address
112 E 5TH ST, PRAIRIE CITY, OR 97869
(541) 820-3341
(541) 820-3628
Mailing address
PO BOX 305, PRAIRIE CITY, OR 97869-0305
(541) 820-3341
(541) 820-3628
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
1367820202
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
801639
—
OR
Enumeration date
03/02/2007
Last updated
06/05/2025
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