| Big Bend Hospice, Inc. | |
|
1723 Mahan Center Blvd Tallahassee FL 32308-5428 | |
| (702) 960-2272 | |
| Not Available |
| Full Name | Big Bend Hospice, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 1723 Mahan Center Blvd, Tallahassee, Florida |
| Authorized Official Name and Position | Pam Gibson (EXECUTIVE ASSISTANCE / BOARD LIAISO) |
| Authorized Official Contact | 8508785310 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Big Bend Hospice, Inc. 1723 Mahan Center Blvd Tallahassee FL 32308-5428 Ph: (702) 960-2272 | Big Bend Hospice, Inc. 1723 Mahan Center Blvd Tallahassee FL 32308-5428 Ph: (702) 960-2272 |
| NPI Number | 1033791199 |
|---|---|
| Provider Enumeration Date | 04/27/2021 |
| Last Update Date | 04/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033791199 | NPI | - | NPPES |
| 087524401 | Medicaid | FL | |
| 087524400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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