Provider Demographics
NPI:1578268033
Name:BROWNWOOD BROWN COUNTY HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:BROWNWOOD BROWN COUNTY HEALTH DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:DICK
Authorized Official - Suffix:
Authorized Official - Credentials:RDN, LD
Authorized Official - Phone:325-646-0554
Mailing Address - Street 1:PO BOX 1389
Mailing Address - Street 2:
Mailing Address - City:BROWNWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:76804-1389
Mailing Address - Country:US
Mailing Address - Phone:325-646-0554
Mailing Address - Fax:325-643-3591
Practice Address - Street 1:510 E LEE ST
Practice Address - Street 2:
Practice Address - City:BROWNWOOD
Practice Address - State:TX
Practice Address - Zip Code:76801-7238
Practice Address - Country:US
Practice Address - Phone:325-646-0554
Practice Address - Fax:325-643-3591
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CITY OF BROWNWOOD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-04-04
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local
No251K00000XAgenciesPublic Health or Welfare