Bluebird, Inc. | |
1332 Gusdorf Rd Ste B Taos NM 87571-6372 | |
(575) 751-4065 | |
(575) 751-4075 |
Full Name | Bluebird, Inc. |
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Speciality | Counselor - Professional |
Location | 1332 Gusdorf Rd Ste B, Taos, New Mexico |
Authorized Official Name and Position | Ramona M. Silkwood (PRESIDENT) |
Authorized Official Contact | 5757514065 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bluebird, Inc. Po Box 2518 Ranchos De Taos NM 87557-2518 Ph: (575) 751-4065 | Bluebird, Inc. 1332 Gusdorf Rd Ste B Taos NM 87571-6372 Ph: (575) 751-4065 |
NPI Number | 1194878686 |
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Provider Enumeration Date | 01/19/2007 |
Last Update Date | 02/06/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194878686 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 005681 (New Mexico) | Primary |
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