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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 Specialty Code Provider Type

Hospice Care, Community Based

251G00000X B4[14] Hospice
Indicates primary specialty

NPI Profile & details for BIG BEND HOSPICE, INC.

NPI # 1396746103
LBN Legal business name BIG BEND HOSPICE, INC.
Authorized official WILLIAM WERTMAN - (CEO/ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/02/2005
Last updated 03/31/2022 - About 4 years ago
Identifiers
FL License # 5002096
FL Medicaid 087524400
FL Medicaid 087524401
FL Other U15 BLUE CROSS/BLUE SHIELD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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