Organization
HEALTH AND HUMAN SERVICES COMMISSION
Active
Other names
BIG SPRING STATE HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
JANA JOHNSON (PROGRAM SPECIALIST VI)
(512) 438-3124
Entity
Organization
Contact information
Practice address
1901 N US HIGHWAY 87, BIG SPRING, TX 79720-0283
(432) 268-7289
(432) 268-7245
Mailing address
1901 N US HIGHWAY 87, BIG SPRING, TX 79720-0283
(432) 268-7289
(432) 268-7245
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
—
TX
3336L0003X
Long Term Care Pharmacy
Primary
06005
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137918205
—
TX
01
—
2098738
PK
—
Enumeration date
08/07/2006
Last updated
07/31/2019
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