B & T Managed Care LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

109405 Issued in TX

Legal business name

B & T MANAGED CARE LLC

Practice address

1200 W 15TH St
Monahans, TX 79756-8301

Phone

(432) 943-2741

NPI assigned

May 24, 2005

Organization subpart

No

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

Authorized official

Name

Betty F. Turner

Title

Owner/Administrator

Phone

(432) 943-2741

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Monahans Managed Care Center Doing business as

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1558364356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W 15TH ST",
            "city": "MONAHANS",
            "state": "TX",
            "postal_code": "797568301",
            "telephone_number": "432-943-2741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W 15TH ST",
            "city": "MONAHANS",
            "state": "TX",
            "postal_code": "797568301",
            "telephone_number": "432-943-2741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B & T MANAGED CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "432-943-2741"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "109405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001001093",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID VENDOR NUMBER",
            "identifier": "5164",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monahans Managed Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Maricela Bazan
• Dee A Bean, PA-C
• Heidi Leigh Branham
• Canyon Smiles PLLC

• All providers in Monahans, TX
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.