Organization
COMMUNITY HOSPITAL OF BRAZOSPORT
Active
Parent organization
COMMUNITY HOSPITAL OF BRAZOSPORT
Other names
Brazosport Regional Home Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY HOSPITAL OF BRAZOSPORT
Authorized official
CHARLA R LITTLE RN (ADMINISTRATOR)
(979) 299-3236
Entity
Organization
Contact information
Practice address
194 ABNER JACKSON PARKWAY, LAKE JACKSON, TX 77566-5160
(979) 299-3236
(979) 299-6407
Mailing address
194 ABNER JACKSON PKWY, LAKE JACKSON, TX 77566-5160
(979) 299-3236
(979) 299-6407
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
003500
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
458370
MEDICARE IDENTIFICATION #
TX
Enumeration date
03/27/2006
Last updated
02/20/2009
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