Carl Bengie Collins, BS
Individual provider Active NPI Case Manager/Care Coordinator · Big Stone Gap, VA
NPI 1295873503 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1295873503
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 3169 2ND Avenue East
Wise County Behavioral Health Services
Big Stone Gap, VA 24219 - Phone
- (276) 523-8300
- Fax
- (276) 523-6964
- NPI assigned
- Feb 1, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
3169 2ND Avenue East
Wise County Behavioral Health Services
Big Stone Gap, VA 24219
Mailing address
PO Box 9054
Gray, TN 37615-9054
Phone (423) 467-3600
Other providers in Big Stone Gap, VA
- Steven Allen Christian
- Cindy Darlene Clark
- Cloverleaf Chiropractic
- Cloverleaf Chiropractic PLLC
- Larry Wayne Collier
- Cassandra Anne Collins
- Ginger Alechia Collins
- Carla C Cornett
- Beth Sherwood Couch
- Charolette Roxann Cox
All providers in Big Stone Gap, VA · Case Manager/Care Coordinator in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.