NPI 1013266741
Blue Birds Specialty Services LLC
Practice location
- Address
- 1122 W Finch Dr, Nampa, ID 83651-1732
- Phone
- (208) 577-0876
Authorised official
- Name
- Ismael Manuel Medina
- Title
- Member/Manager
- Phone
- (208) 750-8726
Registered specialties
Non-emergency Medical Transport (VAN)
Primary
Registry record
- NPI
- 1013266741
- Entity type
- Organization
- NPI issued
- 10 Sep 2012
- Record last updated
- 10 Sep 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.