Provider Demographics
NPI:1326059429
Name:2-1-1 BIG BEND, INC.
Entity Type:Organization
Organization Name:2-1-1 BIG BEND, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF MANAGEMENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JANET
Authorized Official - Middle Name:BARD
Authorized Official - Last Name:HANSON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:850-617-6310
Mailing Address - Street 1:PO BOX 10950
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32302-2950
Mailing Address - Country:US
Mailing Address - Phone:850-617-6310
Mailing Address - Fax:850-561-3443
Practice Address - Street 1:2825 MUNICIPAL WAY
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32304-3807
Practice Address - Country:US
Practice Address - Phone:850-617-6310
Practice Address - Fax:850-561-3443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-11
Last Update Date:2010-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable