| Colibri House Calls LLC | |
|
744 Supper Rock Dr Ne Albuquerque NM 87123-2211 | |
| (505) 290-9495 | |
| (866) 770-4164 |
| Full Name | Colibri House Calls LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 744 Supper Rock Dr Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Kimberly a Bocaz (NURSE PRACTITIONER) |
| Authorized Official Contact | 5052909495 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Colibri House Calls LLC Po Box 52045 Albuquerque NM 87181-2045 Ph: (505) 290-9495 | Colibri House Calls LLC 744 Supper Rock Dr Ne Albuquerque NM 87123-2211 Ph: (505) 290-9495 |
| NPI Number | 1033835608 |
|---|---|
| Provider Enumeration Date | 10/17/2022 |
| Last Update Date | 11/01/2022 |
| Certification Date | 11/01/2022 |
| Medicare PECOS PAC ID | 3678948817 |
|---|---|
| Medicare Enrollment ID | O20230331001021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033835608 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (NU) | Primary |
| Provider Name | Kimberly a Bocaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699220335 PECOS PAC ID: 0749690113 Enrollment ID: I20201113002150 |
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