Provider Demographics
NPI:1588215461
Name:BRUSHY CREEK FAMILY HOSPITAL, LLC
Entity Type:Organization
Organization Name:BRUSHY CREEK FAMILY HOSPITAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PATIENT ACCESS
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-948-1752
Mailing Address - Street 1:1464 E WHITESTONE BLVD STE 1100
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-9058
Mailing Address - Country:US
Mailing Address - Phone:512-948-1752
Mailing Address - Fax:
Practice Address - Street 1:230 DEER RIDGE DR
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-5515
Practice Address - Country:US
Practice Address - Phone:512-766-1400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-23
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes282N00000XHospitalsGeneral Acute Care Hospital
No208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical