Provider Demographics
NPI:1174402572
Name:BLUESTONE HEALTH ASSOCIATION, INC.
Entity type:Organization
Organization Name:BLUESTONE HEALTH ASSOCIATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATIONS OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:ESTHER
Authorized Official - Last Name:PLUMLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-431-5499
Mailing Address - Street 1:106 THORN ST BUIDLING B
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:WV
Mailing Address - Zip Code:24740
Mailing Address - Country:US
Mailing Address - Phone:304-228-4233
Mailing Address - Fax:
Practice Address - Street 1:154 MAJESTIC PL
Practice Address - Street 2:
Practice Address - City:BLUEFIELD
Practice Address - State:WV
Practice Address - Zip Code:24701-9170
Practice Address - Country:US
Practice Address - Phone:304-228-4233
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BLUESTONE HEALTH ASSOCIATION, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-08-29
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)