Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blue Mountain Medical Clinic, PLLC

Organization Family Medicine Physician · NPI 1023538758

Blue Mountain Medical Clinic, PLLC is a Family Medicine Physician in Middlesboro, Kentucky. Licensed in Kentucky. Registered with an NPI since 2017.

Licensed in
KY
In the registry since
2017
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1814 Cumberland Ave
Middlesboro, KY 40965
Phone: (606) 242-2519
Fax: (606) 242-2520
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (KY)

Record details

NPI number1023538758
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLife & Health Services
Authorized official Tina Poore — Office Manager · (606) 242-2519
NPI enumeratedJune 23, 2017
Last updated in NPPESJune 26, 2018
Mailing address1814 Cumberland Ave, Middlesboro, KY 40965-1229

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