Jamie Bird

Individual provider Active NPI Community Health Worker · Tooele, UT

NPI 1982187415 · NPPES record last updated Sep 11, 2018

Key facts

NPI
1982187415
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
100 S 1000 W
Tooele, UT 84074-4010
Phone
(888) 949-4864
NPI assigned
Sep 11, 2018
Sex
Female
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)CodeLicenseStatePrimary
Community Health Worker 172V00000X Yes

Addresses

Primary practice location

100 S 1000 W
Tooele, UT 84074-4010

Mailing address

4460 S Highland Dr
Salt Lake City, UT 84124-3543

Other providers in Tooele, UT

All providers in Tooele, UT · Community Health Worker in Utah

Sources for this page

Verify at the official NPI Registry.