Organization Active NPI

Big Bend Center for Human Service

  • Public Health or Welfare Agency
  • Tallahassee, FL
National Provider Identifier
1821058678
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
BIG BEND CENTER FOR HUMAN SERVICE
Practice address
2109 Evergreen Dr
Tallahassee, FL 32303-4307
Phone
(850) 933-5018
NPI assigned
Mar 24, 2006
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. Glenn Simmions
Title
Executive Director
Phone
(850) 933-5018

Specialties & licenses 1

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

Addresses

Primary practice location

2109 Evergreen Dr
Tallahassee, FL 32303-4307

Mailing address

PO Box 4253
Tallahassee, FL 32315-4253
Phone (850) 933-5018

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821058678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4253",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323154253",
            "telephone_number": "850-933-5018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 EVERGREEN DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323034307",
            "telephone_number": "850-933-5018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG BEND CENTER FOR HUMAN SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIMMIONS",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "850-933-5018",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "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.