National Provider Identifier Database

BIG BEND HOSPICE INC
Hospice Care, Community Based


Contact Information

BIG BEND HOSPICE, INC.
1723 MAHAN CENTER BLVD
TALLAHASSEE, FL32308-5428
Phone: 850-878-5310
Fax: 850-309-1638
Website:
Specialty Taxonomy Code
* Hospice Care, Community Based 251G00000X

* Indicates primary specialty

NPI Profile & details for BIG BEND HOSPICE, INC.

NPI Number 1396746103
Legal business name
LBN
BIG BEND HOSPICE, INC.
Authorized official WILLIAM WERTMAN - (CEO/ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 08/02/2005
Last updated 03/31/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: 5002096
  • FL Medicaid: 087524400
  • FL Medicaid: 087524401
  • FL Other: U15 BLUE CROSS/BLUE SHIELD

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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