NPIMap

Organization Active NPI

Brownwood Hospital LP

Doing business as One Source Health Center Rising Star

  • Rural Health Clinic/Center
  • Rising Star, TX
National Provider Identifier
1205889516
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
BROWNWOOD HOSPITAL LP
Doing business as
One Source Health Center Rising Star
Practice address
902 W College St
Rising Star, TX 76471-5143
Phone
(325) 646-8541
Fax
(325) 646-5459
NPI assigned
May 18, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rebecca Hurley
Title
Senior Vice President
Phone
(214) 473-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

902 W College St
Rising Star, TX 76471-5143

Mailing address

PO Box 760
Brownwood, TX 76804-0760
Phone (325) 646-8541

Other identifiers 2

IdentifierTypeStateIssuer
139179911MedicaidTX
133491406MedicaidTX

Other names 1

  • One Source Health Center Rising Star Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Brownwood Regional Medi4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205889516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 760",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768040760",
            "telephone_number": "325-646-8541",
            "fax_number": "325-646-5459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 W COLLEGE ST",
            "city": "RISING STAR",
            "state": "TX",
            "postal_code": "764715143",
            "telephone_number": "325-646-8541",
            "fax_number": "325-646-5459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWNWOOD HOSPITAL LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HURLEY",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "214-473-7000"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139179911",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133491406",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "One Source Health Center Rising Star",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rising Star, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.