Provider Demographics
NPI:1952454571
Name:NURSES' HOSPICE OF BIG SPRING
Entity Type:Organization
Organization Name:NURSES' HOSPICE OF BIG SPRING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:E
Authorized Official - Last Name:METCALF
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:423-935-6469
Mailing Address - Street 1:1008 E 3RD ST
Mailing Address - Street 2:
Mailing Address - City:BIG SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:79720-3209
Mailing Address - Country:US
Mailing Address - Phone:423-935-6469
Mailing Address - Fax:
Practice Address - Street 1:1008 E 3RD ST
Practice Address - Street 2:
Practice Address - City:BIG SPRING
Practice Address - State:TX
Practice Address - Zip Code:79720-3209
Practice Address - Country:US
Practice Address - Phone:423-935-6469
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization