| Organization Name: | BLUE SKY, MD PC |
| NPI Number: | 1033403266 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RUTH E MARTIKAINEN (BILLING DIRECTOR) |
| Mailing Address: | 317 N King St Ste A Hendersonville |
| State: | NC US |
| Postal Code: | 287924349 |
| Phone Number: | 8286939199 |
| Fax Number: | 8286922487 |
| NPI Enumeration Date: | 06/06/2011 |
| NPI Last Update Date: | 03/07/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QH0100X |
| License Number: | 200400137 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Health Service |
| Taxonomy Definition: | |