Provider Demographics
NPI:1982818605
Name:BLUE SKY CASE MANAGEMENT, INC.
Entity Type:Organization
Organization Name:BLUE SKY CASE MANAGEMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:A
Authorized Official - Last Name:PARSONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-332-9284
Mailing Address - Street 1:2632 PENNSYLVANIA ST NE
Mailing Address - Street 2:SUITE D
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87110-3613
Mailing Address - Country:US
Mailing Address - Phone:505-332-9284
Mailing Address - Fax:505-271-5362
Practice Address - Street 1:2632 PENNSYLVANIA ST NE
Practice Address - Street 2:SUITE D
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87110-3613
Practice Address - Country:US
Practice Address - Phone:505-332-9284
Practice Address - Fax:505-271-5362
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMA1726Medicaid