NPIMap

Organization Active NPI

Big Bend Communtiy Based Care

  • Public Health or Welfare Agency
  • Tallahassee, FL
National Provider Identifier
1083762504
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
02B010401P Issued in FL
Legal business name
BIG BEND COMMUNTIY BASED CARE
Practice address
525 N Martin Luther King Jr Blvd
Tallahassee, FL 32301-1054
Phone
(850) 410-1020
Fax
(850) 410-1076
NPI assigned
Jan 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Mike Watkins
Title
Chief Operating Officer
Phone
(850) 410-1020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 02B010401P FL Primary

Addresses

Primary practice location

525 N Martin Luther King Jr Blvd
Tallahassee, FL 32301-1054

Mailing address

525 N Martin Luther King Jr Blvd
Tallahassee, FL 32301-1054
Phone (850) 410-1020

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083762504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 N MARTIN LUTHER KING JR BLVD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323011054",
            "telephone_number": "850-410-1020",
            "fax_number": "850-410-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 N MARTIN LUTHER KING JR BLVD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323011054",
            "telephone_number": "850-410-1020",
            "fax_number": "850-410-1076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG BEND COMMUNTIY BASED CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "850-410-1020",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "FL",
            "license": "02B010401P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.