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Contact Information

THE COMMUNITY HOSPITAL OF BRAZOSPORT
100 MEDICAL DR
LAKE JACKSON, TX77566
 Phone: 979-297-4411
 Fax: 979-285-1730
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Acute Care Hospital

282N00000X A0[7] Hospital-General
Indicates primary specialty

NPI Profile & details for THE COMMUNITY HOSPITAL OF BRAZOSPORT

NPI Number 1972581940
LBN Legal business name THE COMMUNITY HOSPITAL OF BRAZOSPORT
Authorized official ROBERT TRAUTMAN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/09/2006
Last updated 03/13/2024 - About 2 years ago
Identifiers
TX License # 000436
TX Medicaid 021787901
TX Medicaid 112671602
TX Medicaid 112671604
TX Medicaid 112764902
Other 6541150 AETNA
Other 55805 AMERICAID
TX Other HH0471 BLUE CROSS
TX Other HH362S BLUE CROSS SKILLED UNIT
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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