NPIMap

Organization Active NPI

Big Spring Correctional Center

  • Prison Health Clinic/Center
  • Big Spring, TX
National Provider Identifier
1649497801
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prison Health Clinic/CenterTaxonomy code 261QP2400X
Legal business name
BIG SPRING CORRECTIONAL CENTER
Practice address
1701 Apron Dr
Big Spring, TX 79720-7821
Phone
(432) 264-0040
Fax
(432) 267-6522
NPI assigned
Apr 19, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Melencio Juan, MD
Title
Clinical Director
Phone
(432) 264-0060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prison Health Clinic/Center 261QP2400X Primary

Addresses

Primary practice location

1701 Apron Dr
Big Spring, TX 79720-7821

Mailing address

1701 Apron Dr
Big Spring, TX 79720-7821
Phone (432) 264-0040

Other names 1

  • Cornell Companies - BSCC Other name

National Provider Directory

National Provider Directory
Tax ID family
Texas Adolescent Treatment Center5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1701 Apron Dr
Big Spring, TX 79720
Phone (432) 264-0040

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649497801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 APRON DR",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797207821",
            "telephone_number": "432-264-0040",
            "fax_number": "432-267-6522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 APRON DR",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797207821",
            "telephone_number": "432-264-0040",
            "fax_number": "432-267-6522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG SPRING CORRECTIONAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JUAN",
        "authorized_official_first_name": "MELENCIO",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "432-264-0060",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Prison Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornell Companies - BSCC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Big Spring, TX

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.