BIG SPRING BACK REHAB & WELLNESS , NPI 1457376212 — BIG SPRING REHABILITATION CENTER in BIG SPRING (TX)

NPI 1457376212

13+ Years Experience Organization

BIG SPRING BACK REHAB & WELLNESS

Other organization name: BIG SPRING REHABILITATION CENTER. Name type code: 3 - doing business as (d/b/ a) name.

07/13/2006
PROVIDER ENUMERATION DATE
07.08.2007
LAST UPDATE DATE
1457376212
NPI NUMBER

About BIG SPRING BACK REHAB & WELLNESS

BIG SPRING BACK REHAB & WELLNESS is a provider established in BIG SPRING, TX. The NPI number of BIG SPRING BACK REHAB & WELLNESS is 1457376212 and was assigned on 07/13/2006. The practitioners primary taxonomy code is: 261QR0400X TX .

Mailing address

  • City: BIG SPRING
  • State: TX
  • Postal code: 79720
  • Phone: 4322632915
  • Fax: 4322673581
  • Address: 1703 LANCASTER

Primary Practice Address

  • Region : BIG SPRING, TX
  • NPI : 1457376212
  • Phone : 4322632915
  • Fax : 4322673581
  • Postalcode : 79720
  • Address : 1703 LANCASTER

Provider taxonomy - Clinic/Center

  • Taxonomy code: 261QR0400X
  • License state: TX

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Contacts:

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  • BIG SPRING BACK REHAB & WELLNESS
  • Address : 1703 LANCASTER
  • Region : BIG SPRING, TX
  • NPI : 1457376212
  • Phone : 4322632915
  • Fax : 4322673581
  • Postalcode : 79720

Authorized official :

{:AUTHORIZED_OFFICIAL_FIRST_NAME:} {:AUTHORIZED_OFFICIAL_MIDDLE_NAME:} {:AUTHORIZED_OFFICIAL_LAST_NAME:}
  • Phone : 4322672915
  • Title or position : OWNER
  • Credentials : DC

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address1703 LANCASTER
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameBIG SPRING
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameTX
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code79720
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number4322632915
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number4322673581
The fax number associated with the location address of the provider being identified.
NPI1457376212
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 1261QR0400X
Provider Enumeration Date07/13/2006
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated07.08.2007
The date that a record was last updated or changed.
Entity TypeOrganization
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)BIG SPRING BACK REHAB & WELLNESS
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider Other Organization NameBIG SPRING REHABILITATION CENTER
Other name by which the organization provider is or has been known.
Provider Other Organization Name Type Code3
Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/a) name; 4 = former legal business name; 5 = other.
Provider First Line Business Mailing Address1703 LANCASTER
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City NameBIG SPRING
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameTX
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code79720
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Telephone Number4322632915
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number4322673581
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
Authorized Official Last NameWARREN
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First NameJAMES
The first name of the authorized official
Authorized Official Middle NameWRAY
The middle name of the authorized official
Authorized Official Title or PositionOWNER
The title or position of the authorized official
Authorized Official Credential TextDC
Authorized Official Credential Text
Authorized Official Telephone Number4322672915
The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code #1261QR0400X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Clinic/Center
Provider License Number State Code 1TX
Healthcare Provider Primary Taxonomy Switch 1Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
X

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