Provider Demographics
NPI:1801817515
Name:BROWNWOOD HOSPITAL, LP
Entity Type:Organization
Organization Name:BROWNWOOD HOSPITAL, LP
Other - Org Name:BROWNWOOD REGIONAL MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR/DELEGATED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:M
Authorized Official - Last Name:LALOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-925-4565
Mailing Address - Street 1:PO BOX 848403
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-8403
Mailing Address - Country:US
Mailing Address - Phone:325-646-8541
Mailing Address - Fax:325-646-5459
Practice Address - Street 1:1501 BURNET DRIVE
Practice Address - Street 2:
Practice Address - City:BROWNWOOD
Practice Address - State:TX
Practice Address - Zip Code:76801-8520
Practice Address - Country:US
Practice Address - Phone:325-646-8541
Practice Address - Fax:325-646-5459
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BROWNWOOD HOSPITAL, LP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-21
Last Update Date:2017-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX000058273Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273Y00000XHospital UnitsRehabilitation Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX094503201Medicaid
TX094503201Medicaid