Bir Hospital LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

BIR HOSPITAL LLC

Doing business as

Road Runner Adult Day Care

Practice address

800 E Dickinson Blvd
Fort Stockton, TX 79735-4318

Phone

(432) 336-9711

NPI assigned

Oct 10, 2024

Last updated

Oct 10, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Subodh Kumar Mallik, MDNPI 1689628885

Title

Director

Phone

(432) 290-2510

Specialties & licenses 1

Addresses

Other names 1

• ROAD RUNNER ADULT DAY CARE Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Subodh K Mallik, M.D.

  • Internal Medicine Physician
  • Fort Stockton, TX
  • NPI 1689628885
  NPD Authorized official

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

{
    "created_epoch": "1728518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1497574917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E DICKINSON BLVD",
            "city": "FORT STOCKTON",
            "state": "TX",
            "postal_code": "797354318",
            "telephone_number": "432-336-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E DICKINSON BLVD",
            "city": "FORT STOCKTON",
            "state": "TX",
            "postal_code": "797354318",
            "telephone_number": "432-336-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIR HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-10",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "MALLIK",
        "authorized_official_first_name": "SUBODH",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "432-290-2510",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROAD RUNNER ADULT DAY CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Day Care Clinic/Center in Fort Stockton, TX
• Providers in Fort Stockton, TX by specialty
• Adult Day Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; 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.