Provider Demographics
NPI:1275059826
Name:BLUEPOINT WELLNESS
Entity type:Organization
Organization Name:BLUEPOINT WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING/CREDENTIALING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:ERIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-281-3553
Mailing Address - Street 1:14631 LEE HWY STE 413
Mailing Address - Street 2:
Mailing Address - City:CENTREVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20121-5835
Mailing Address - Country:US
Mailing Address - Phone:703-385-8222
Mailing Address - Fax:703-832-8809
Practice Address - Street 1:14631 LEE HWY STE 413
Practice Address - Street 2:
Practice Address - City:CENTREVILLE
Practice Address - State:VA
Practice Address - Zip Code:20121-5835
Practice Address - Country:US
Practice Address - Phone:703-385-8222
Practice Address - Fax:703-832-8809
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies