Provider Demographics
NPI:1205889516
Name:BROWNWOOD HOSPITAL LP
Entity type:Organization
Organization Name:BROWNWOOD HOSPITAL LP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SENIOR VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:HURLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-473-7000
Mailing Address - Street 1:PO BOX 760
Mailing Address - Street 2:
Mailing Address - City:BROWNWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:76804-0760
Mailing Address - Country:US
Mailing Address - Phone:325-646-8541
Mailing Address - Fax:325-646-5459
Practice Address - Street 1:902 W COLLEGE ST
Practice Address - Street 2:
Practice Address - City:RISING STAR
Practice Address - State:TX
Practice Address - Zip Code:76471-5143
Practice Address - Country:US
Practice Address - Phone:325-646-8541
Practice Address - Fax:325-646-5459
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX139179911Medicaid
TX133491406Medicaid
458565Medicare ID - Type UnspecifiedRURAL HEALTH RISING STAR