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Revalidation record

Blue Mountain Hospital District — revalidation due 2026-12-31

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NPI 1356414395 · Part A · OR · Enrollment ID O20050607000606

From the CMS revalidation file for October 2026, published 2026-10-01 · check this NPI in CMS’s own lookup ↗ ·

This NPI has 4 enrollments. They stay separate. The detail below is the one to look at first.

EnrollmentStateFormDue
O20050607000606OR855A2026-12-31
O20061104000510OR855A2027-02-28
O20040412001588OR855BTBD
O20071004000058OR855ATBD
Revalidation due
2026-12-31
Form to file
855A

Institutional providers file CMS-855A.

This NPI's revalidation is due 2026-12-31 — in 62 days.

CMS listed this date in the public file. It can still move next month.

What changed, month by month

SnapshotDue date on the CMS file
2026-102026-12-31

Not an official CMS system. Verify before filing.

All OR revalidation dates for October 2026Where this date comes from