MIRACLE FARM, INC.; NPI #1679091789

Contact Information

MIRACLE FARM, INC.

10802 FM 2621
BRENHAM, TX 77833-0164

Phone: 979-836-0901
Fax: 979-277-0939
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Voluntary or Charitable	251V00000X	61	Voluntary Health or Charitable Agency[1]

Indicates primary specialty

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NPI Profile & details for MIRACLE FARM, INC.

NPI Number 1679091789

LBN Legal business name MIRACLE FARM, INC.

Authorized official JAY HAMILTON - (EXECUTIVE DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/08/2017

Last updated 07/21/2022 - About 4 years ago

Identifiers

License #

68824

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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MIRACLE FARM, INC.

Contact Information

Specialty

Voluntary or Charitable

NPI Profile & details for MIRACLE FARM, INC.

Reviews for MIRACLE FARM, INC.