BLUE AND RED BIRD CORPORATION, PC.; NPI #1124579958

Contact Information

BLUE AND RED BIRD CORPORATION, PC.

815 W 14TH ST
CLOVIS, NM 88101-5514

Phone: 575-762-6492
Fax: 757-935-8333
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Primary Care	261QP2300X

Indicates primary specialty

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NPI Profile & details for BLUE AND RED BIRD CORPORATION, PC.

NPI Number 1124579958

LBN Legal business name BLUE AND RED BIRD CORPORATION, PC.

Authorized official ALI GHAFFARI - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/17/2016

Last updated 10/17/2016 - About 10 years ago

Identifiers

License #

81202

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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BLUE AND RED BIRD CORPORATION, PC.

Contact Information

Specialty

Primary Care

NPI Profile & details for BLUE AND RED BIRD CORPORATION, PC.

Reviews for BLUE AND RED BIRD CORPORATION, PC.