RED BIRD CLINIC, INC. (NPI# 1821084971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821084971 |
| Entity Type | Organization |
| Organization Name | RED BIRD CLINIC, INC. |
| Practice Address |
53 Queendale Center Suite 1 Beverly KY 40913 |
| Practice Telephone | 6065985135 |
| Practice Fax Number | 6065985131 |
| Mailing Telephone | 6065985135 |
| Mailing Fax Number | 6065983151 |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2015-11-03 |
| Authorized Official Name | KARI COLLINS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6065983155 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
53 QUEENDALE CENTER SUITE 1 |
| City | BEVERLY |
| State | KY |
| Zip Code | 40913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780683219 | Red Bird Volunteer Fire and Rescue Inc | Ambulance | 31 Queendale Ctr, Beverly, KY 40913-9602 | 2005-07-18 |
| 1790771046 | Millard Lynn Fogleman | Family Medicine | 53 Queendale Ctr, Red Bird Clinic, Beverly, KY 40913-9607 | 2005-09-22 |
| 1104443654 | Memorial Hospital Inc | General Acute Care Hospital | 53 Queendale Ctr Ste 200, Beverly, KY 40913-9608 | 2020-07-01 |
| 1083030860 | Aaron N. Frye | Nurse Practitioner | 53 Queendale Ctr, Beverly, KY 40913-9608 | 2014-03-17 |
| 1558665752 | Memorial Hospital, Inc. | Family Medicine | 53 Queendale Ctr, Beverly, KY 40913-9608 | 2011-01-03 |
| 1992815419 | Rx Discount Pharmacy of Harlan Inc | Pharmacy | 53 Queendale Ctr, Hc 69 Box 701, Beverly, KY 40913-9608 | 2006-08-30 |
| 1053421560 | Bruce D. Polly | Pharmacist | 53 Queendale Ctr, Beverly, KY 40913-9608 | 2006-08-30 |
| 1609862952 | Sharon Kay Goodwin Fogleman | Family Medicine | 53 Queendale Ctr, Red Bird Clinic, Beverly, KY 40913-9608 | 2005-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548050 | Elizabeth Karen Turner | Physical Therapist | 800 Cummings Ctr Ste 147u, Beverly, MA 01915-6172 | 2020-11-07 |
| 1235730151 | Jennifer Beardslee | Psychologist | 116 Bridge St, Beverly, MA 01915-2851 | 2020-11-06 |
| 1730780370 | Helena Santos-martins, Md, PC | Internal Medicine | 100 Cummings Ctr Ste 106-q, Beverly, MA 01915-6115 | 2020-11-02 |
| 1225638398 | Nicholas Makogonov | Behavior Technician | 4 Kinsman St, Beverly, MA 01915-1819 | 2020-10-28 |
| 1124626726 | Lov Home Care LLC | In Home Supportive Care | 498 Elliott St, Beverly, MA 01915-2331 | 2020-10-15 |
| 1962000703 | Jonathan Inz Phd LLC | Psychologist | 100 Cummings Ctr Ste 453, Beverly, MA 01915-6115 | 2020-10-14 |
| 1922605344 | Anchor Home Medical, Inc | Durable Medical Equipment & Medical Supplies | 409 Cabot St Ste 8, Beverly, MA 01915-3175 | 2020-10-08 |
| 1124625892 | Steven M Adkison | Registered Nurse | 197 Lothrop St, Beverly, MA 01915-3763 | 2020-10-06 |
| 1083221352 | Myeyedr Optometry of Massachusetts P C | Optometrist | 495 Cabot St Ste 1, Beverly, MA 01915-2515 | 2020-09-30 |
| 1104433614 | Holly Welch | Technician | 5 Dixie St, Beverly, WV 26253-8935 | 2020-09-29 |
| Find all providers in BEVERLY | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881180156 | Beverly Farms Dental Pllc | Clinic/Center | 50 West St, Beverly, MA 01915-2228 | 2018-07-10 |
| 1104375526 | Benjamin L Polan Dmd | Clinic/Center | 100 Cummings Ctr, S104m, Beverly, MA 01915-6115 | 2016-09-27 |
| 1083983746 | Gentle Dental Beverly | Clinic/Center | 377 Cabot St, Beverly, MA 01915-3390 | 2011-12-23 |
| 1750555181 | North Shore Pediatric Dental Associates | Clinic/Center | 900 Cummings Ctr, Suite 116-t, Beverly, MA 01915-6198 | 2008-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535810 | Norvell Family Dentistry Pllc | Clinic/Center | 821 W. Hwy 25w, Williamsburg, KY 40769 | 2020-10-15 |
| 1629696505 | Kauffmann and Sims Dentistry Pllc | Clinic/Center | 3935 Dupont Cir Ste A, Louisville, KY 40207-4824 | 2020-07-08 |
| 1841816824 | Lyon Family Dental | Clinic/Center | 252 Commerce St, Eddyville, KY 42038-8294 | 2020-06-24 |
| 1508487109 | Arrow Dental Pllc | Clinic/Center | 1107 Crown Pointe Dr Ste 210, Elizabethtown, KY 42701-7281 | 2020-05-05 |
| 1831710698 | Arrow Dental Pllc | Clinic/Center | 25 E High St Ste 2, Mt Sterling, KY 40353-1267 | 2020-05-04 |
| 1699396440 | Arrow Dental Pllc | Clinic/Center | 2560 Bypass Rd Ste 2, Winchester, KY 40391-2387 | 2020-05-04 |
| 1922629773 | Arrow Dental Pllc | Clinic/Center | 1080 Ben Ali Dr Ste A, Danville, KY 40422-8937 | 2020-05-04 |
| 1730700576 | Arrow Dental Pllc | Clinic/Center | 2505 Larkin Rd Ste 201, Lexington, KY 40503-3256 | 2020-05-04 |
| 1699394783 | Professional Dental Services of Kentucky Psc | Clinic/Center | 4814 Outer Loop Ste A, Louisville, KY 40219-3302 | 2020-04-09 |
| 1316579279 | Shannon P Johnson Dmd Pllc | Clinic/Center | 9510 Ormsby Station Rd Ste 203, Louisville, KY 40223-4083 | 2020-02-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.