# BLUESTEM FARMS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922690908
- **Authorized official:** VICKIE JONES (OFFICE MANAGER)
- **Authorized official phone:** (804) 739-4000

## Contact information

- **Practice address:** 6721 LAKE HARBOUR DR, MIDLOTHIAN, VA 23112-2083
- **Practice address phone:** (804) 739-8400
- **Practice address fax:** (804) 739-5579
- **Mailing address:** 6721 LAKE HARBOUR DR, MIDLOTHIAN, VA 23112-2083
- **Mailing address phone:** (804) 739-8400
- **Mailing address fax:** (804) 739-5579

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 02/10/2021
- **Last updated:** 11/15/2023