Blue Birds Specialty Services LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

BLUE BIRDS SPECIALTY SERVICES LLC

Practice address

1122 W Finch Dr
Nampa, ID 83651-1732

Phone

(208) 577-0876

NPI assigned

Sep 10, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Ismael Manuel Medina

Title

Member/Manager

Phone

(208) 750-8726

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1347235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347235200000",
    "number": "1013266741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 W FINCH DR",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836511732",
            "telephone_number": "208-577-0876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 W FINCH DR",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836511732",
            "telephone_number": "208-577-0876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE BIRDS SPECIALTY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-10",
        "last_updated": "2012-09-10",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "ISMAEL",
        "authorized_official_middle_name": "MANUEL",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "208-750-8726",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Nampa, ID by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.