Provider Demographics
NPI:1760679252
Name:BIGMERICA, INC
Entity Type:Organization
Organization Name:BIGMERICA, INC
Other - Org Name:FOUNDATION HEALTH AND HUMAN SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ASST SECTARY
Authorized Official - Prefix:MR
Authorized Official - First Name:DIAZ
Authorized Official - Middle Name:M
Authorized Official - Last Name:JOYNER
Authorized Official - Suffix:
Authorized Official - Credentials:MANAGER
Authorized Official - Phone:252-312-8207
Mailing Address - Street 1:201 W EHRINGHAUS ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:ELIZABETH CITY
Mailing Address - State:NC
Mailing Address - Zip Code:27909-4923
Mailing Address - Country:US
Mailing Address - Phone:252-312-8207
Mailing Address - Fax:800-419-0346
Practice Address - Street 1:201 W EHRINGHAUS ST
Practice Address - Street 2:SUITE A
Practice Address - City:ELIZABETH CITY
Practice Address - State:NC
Practice Address - Zip Code:27909-4923
Practice Address - Country:US
Practice Address - Phone:252-312-8207
Practice Address - Fax:800-419-0346
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-27
Last Update Date:2007-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health