STAR COMMUNICATION DISORDERS


Address: 101 Burch Pl, Clovis, NM 88101-2920
Phone: 5757992270

STAR COMMUNICATION DISORDERS (NPI# 1245622356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245622356
Entity Type Organization
Organization Name STAR COMMUNICATION DISORDERS
Practice Address 101 Burch Pl
Clovis
NM 88101-2920
Mailing Address 101 Burch Place
Clovis
NM 88101
Practice Telephone 5757992270
Mailing Telephone 5757992270
Enumeration Date 2015-02-26
Last Update Date 2015-02-26
Authorized Official Name STARLIA S CLAYTON (SPEECH PATHOLOGIST)
Authorized Official Telephone 5757992270
Authorized Official Credential MS, CCC-SLP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 305S00000X Point of Service 3301 NM Managed Care Organizations

Other Provider Identifier

State Issuer Identifier Type Code
NM STATE OF NM REGULATION & LICENSING DEP. SPEECH LANGUAGE PATHOLOG 33001 01

Office Location

Street Address 101 BURCH PL
City CLOVIS
State NM
Zip Code 88101-2920

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Taxonomy Information

Taxonomy Code 305S00000X
Grouping Managed Care Organizations
Classification Point of Service

Taxonomy Definition

This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62

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NPI Name Taxonomy Address Enumeration
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1124391768 Rivers In The Desert Eye Clinic Point of Service 306 S Lake St, Farmington, NM 87401-5620 2012-02-13
1851556583 New Choice, Inc Point of Service 1209b Pecos St, Las Vegas, NM 87701-4558 2008-07-22
1245383306 Greenlee & Reid, Inc Point of Service 4601 E Main St, Ste. 120, Farmington, NM 87402-8667 2007-01-19
1316098346 Therapeutic Living Services, Inc. Point of Service 5601 Domingo Rd Ne, Albuquerque, NM 87108-1610 2007-01-16
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Competitor

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City CLOVIS
Zip Code 88101

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Dataset Information

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.

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