Birgit Davis III
Individual provider Active NPI Community Health Worker · Huntington, IN
NPI 1407000482 · NPPES record last updated Nov 4, 2008
Key facts
- NPI
- 1407000482
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 504 Wabash Cir
Huntington, IN 46750-8413 - Phone
- (260) 224-5281
- NPI assigned
- Nov 4, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Driver | 172A00000X | |||
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
504 Wabash Cir
Huntington, IN 46750-8413
Mailing address
504 Wabash Cir
Huntington, IN 46750-8413
Phone (260) 224-5281
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200911410 A | Medicaid | IN |
Other providers in Huntington, IN
- Brandy Cooper
- Kristee Creech
- Maria A Cuda
- D'Vine Dental
- Dan R. Host, O.D., P.C.
- Patricia Dealteris
- Christopher Michael Depoy
- Marina Doctor
- Brittany Dolsen
- Victoria Kay Downs
All providers in Huntington, IN · Community Health Worker in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2008. 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.