Mister Birdo
Individual provider Active NPI Case Manager/Care Coordinator · Clovis, NM
NPI 1174031629 · NPPES record last updated Jan 18, 2018
Key facts
- NPI
- 1174031629
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 1100 W 21St St
Clovis, NM 88101-4151 - Phone
- (575) 769-2345
- NPI assigned
- Jan 18, 2018
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
1100 W 21St St
Clovis, NM 88101-4151
Mailing address
1100 W 21St St
Clovis, NM 88101-4151
Phone (575) 769-2345
Other providers in Clovis, NM
- Heather Beverage
- Kara Rachelle Bible
- Haylee D Bildilli
- Bio-Medical Applications of New Mexico, Inc.
- Bio-Medical Applications of New Mexico, Inc.
- Carol Birdsong
- Miko Reann Birdsong
- Janet Birkey
- John Birkey
- Robert Dale Bitner
All providers in Clovis, NM · Case Manager/Care Coordinator in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.