# HAMILTON COUNTY HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Brodie Ranch Nursing and Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497211437
- **Authorized official:** SOON BURNAM (TREASURER OF MANAGEMENT COMPANY)
- **Authorized official phone:** (949) 540-1249

## Contact information

- **Practice address:** 2101 FRATE BARKER RD, AUSTIN, TX 78748-3614
- **Practice address phone:** (512) 444-5627
- **Mailing address:** 2101 FRATE BARKER RD, AUSTIN, TX 78748-3614
- **Mailing address phone:** (512) 444-5627
- **Mailing address fax:** (512) 368-2034

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 02/14/2019
- **Last updated:** 10/03/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001030444 | — | TX |
| 05 | — | 104451 | — | TX |
| 05 | — | 5586 | — | TX |