# HEALTH AND HUMAN SERVICES COMMISSION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BIG SPRING STATE HOSPITAL
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174532220
- **Authorized official:** JANA JOHNSON (PROGRAM SPECIALIST VI)
- **Authorized official phone:** (512) 438-3124

## Contact information

- **Practice address:** 1901 N US HIGHWAY 87, BIG SPRING, TX 79720-0283
- **Practice address phone:** (432) 268-7289
- **Practice address fax:** (432) 268-7245
- **Mailing address:** 1901 N US HIGHWAY 87, BIG SPRING, TX 79720-0283
- **Mailing address phone:** (432) 268-7289
- **Mailing address fax:** (432) 268-7245

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336I0012X | Institutional Pharmacy | — | TX | — |
| 3336L0003X | Long Term Care Pharmacy | 06005 | TX | Yes |

## Other

- **Enumeration date:** 08/07/2006
- **Last updated:** 07/31/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 137918205 | — | TX |
| 01 | — | 2098738 | PK | — |