N/A
NPI 1548472830
General Practice in Clovis, NM

Active since May 07, 2007
815 W 14TH ST, CLOVIS, NM 88101(505) 762-6492(505) 769-8236 Get Directions Write a Review

NPPES record last updated: October 26, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About N/a NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

N/A (NPI 1548472830) is a healthcare organization registered as a general practice in Clovis, New Mexico and active in the NPI registry since May 2007. The organization lists Ali M Ghaffari, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1548472830
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameBLUE AND RED BIRD CORP PC
Location Address815 W 14TH STClovis, NM 88101-5514
Mailing Address815 W 14th StClovis, NM 88101-5514 · (505) 762-6492 · Fax (505) 769-8236
Fax(505) 769-8236
Organization SubpartNo
Authorized OfficialAli M GhaffariMedical Director · (505) 762-6492
Enumeration DateMay 7, 2007
Last NPPES UpdateOctober 26, 2016
NPI 1548472830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
815 W 14TH ST, Clovis, NM 88101

Other Identifiers 3

Medicare ID-Type Unspecified700521052NM
MedicaidS2511NM
Medicare UPINC97783NM

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Primary Care)
815 W 14TH ST
CLOVIS, NM 88101
Home Health
815 W 14TH ST
CLOVIS, NM 88101

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blue And Red Bird Corp PC's NPI number?

The NPI number for Blue And Red Bird Corp PC is 1548472830. It was assigned to this organization in the NPPES registry on May 7, 2007.

Where is Blue And Red Bird Corp PC located?

Blue And Red Bird Corp PC is located at 815 W 14th St, Clovis, NM 88101. The listed phone number is (505) 762-6492.

What is Blue And Red Bird Corp PC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

What insurance does Blue And Red Bird Corp PC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Blue And Red Bird Corp PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Blue And Red Bird Corp PC was last updated on October 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.