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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