Andrew S Kingbird, CHW, Case manager
Community Health Worker in Red Lake, MN. Individual provider (NPI-1).
NPI number1750124699
StatusActive
Last updated in NPPESJun 18, 2024
Details
- NPI
- 1750124699
- Entity type
- Individual (NPI-1)
- Name
- Andrew S Kingbird
- Credential
- CHW, Case manager
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 18, 2024
- Certification date
- Jun 18, 2024
- Last updated
- Jun 18, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
Po Box 280Red Lake, MN 56671-0280
Phone 218-679-3171 · Fax 218-679-3451
Mailing address
Po Box 280Red Lake, MN 56671-0280
Phone 218-679-3171 · Fax 218-679-3451
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Community Health Worker providers in Red Lake, MN
- Holly Rose GravesNPI 1952144800
- Keveon K Kingbird, CHWNPI 1811887755
- Tasha M Martell, CHWNPI 1053207795
- Rayshayna Rose RobertsNPI 1982431482
- Jennifer Marie SchoenbornNPI 1366325318
- Carmen M Strong, CHWNPI 1659253235
- Robert J Thibert, CHWNPI 1932099876
All 8 Community Health Worker providers in Red Lake · All 99 providers in Red Lake
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