N/A

LBN: Blue And Red Bird Corp Pc
N/A is an health care organization with primary practice located at 815 W 14Th St , Clovis NM 88101-5514. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Blue And Red Bird Corp Pc can be contacted via phone (505) 762-6492, or through Ghaffari, Ali M via phone (505) 762-6492.

Contact Information

Primary practice address
815 W 14Th St Clovis NM 88101-5514
Phone: (505) 762-6492
Fax: (505) 769-8236
Website:
Map and Directions
Authorized official contact:
Name: Ghaffari, Ali M Doctor of Medicine (MD)
Phone: (505) 762-6492

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X

Profile Details

NPI number 1548472830
LBN Legal business name Blue And Red Bird Corp Pc
DBA Doing business as N/A
Authorized official Ghaffari, Ali M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 7th, 2007
Last updated Oct 26th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548472830 NPPES
New Mexico MEDICAID S2511

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