BRAZOS VALLEY HOSPITAL, LLC (NPI# 1386045185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386045185 |
| Entity Type | Organization |
| Organization Name | BRAZOS VALLEY HOSPITAL, LLC |
| Other Organization Name | CAPROCK 24 HOUR EMERGENCY |
| Practice Address |
948 William D Fitch College Station TX 77845 |
| Practice Telephone | 9793142323 |
| Practice Fax Number | 9793142360 |
| Mailing Telephone | 9793142323 |
| Mailing Fax Number | 9793142360 |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2020-04-17 |
| Authorized Official Name | JON ANTHONY VENUTI (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 3522841678 |
| Is Organization Subpart | Y |
| Parent Organization Name | BRAZOS VALLEY HOSPITAL, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0002X |
Clinic/Center Specialization: Emergency Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | DEPARTMENT OF STATE HEALTH SERVICES | 160141 | 01 |
| Other Name | Type Code |
|---|---|
| CapRock 24 Hour Emergency | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770099392 | Brazos Valley Hospital, LLC | General Acute Care Hospital | 3134 Briarcrest Dr, Bryan, TX 77802-3014 | 2017-12-19 |
| Street Address |
948 WILLIAM D FITCH |
| City | COLLEGE STATION |
| State | TX |
| Zip Code | 77845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518503101 | Aggieland Urgent Care Pllc | Clinic/Center | 13055 Fm 2154 Rd, College Station, TX 77845 | 2019-11-19 |
| 1770053399 | Alyssa Nicole Sanchez | Licensed Vocational Nurse | 4030 Hwy 6 S 150, College Station, TX 77845 | 2018-11-27 |
| 1154805778 | Medical Care Innovation, P.C. | Clinic/Center | 200 Quality Circle, College Station, TX 77845 | 2018-09-19 |
| 1003302530 | Kaye Lynn Tseng | Registered Nurse | 4030 Hightway 6 South, College Station, TX 77845 | 2018-07-09 |
| 1083117907 | College Station Dentistry and Orthodontics Pllc | Dentist | 11671 Fm 2154, Suite 400, College Station, TX 77845 | 2018-03-16 |
| 1912409954 | H-e-b, Lp | Clinical Medical Laboratory | 11675 Fm 2154, College Station, TX 77845 | 2018-03-06 |
| 1871095745 | Gregory Nicholas Perry | Physical Therapist | 4091 Sh 6 South, Suite B, College Station, TX 77845 | 2018-03-06 |
| 1811435639 | Michael Patke | Student in an Organized Health Care Education/Training Program | 10613 Deer Run Dr., College Station, TX 77845 | 2017-02-01 |
| 1558810473 | Sara Beth Williamson | Nurse Practitioner | 4401 State Hwy 6 S, College Station, TX 77845 | 2016-10-04 |
| 1881067379 | Kieshia Lewis | Occupational Therapy Assistant | 2700 Earl Rudder Frwy Suite 1200, College Station, TX 77845 | 2015-11-05 |
| Find all providers in zip 77845 | ||||
| Taxonomy Code | 261QE0002X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Emergency Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457706632 | Nec College Station Emergency, Lp | Clinic/Center | 1289 University Dr., College Station, TX 77840-1559 | 2016-04-26 |
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| 1568098119 | Complete Temple Fser Facility LLC | Clinic/Center | 1551 W Central Ave, Temple, TX 76504-4005 | 2020-03-16 |
| 1770118879 | Exceptional Healthcare Tyler LLC | Clinic/Center | 2222 E Southeast Loop 323, Tyler, TX 75701-8320 | 2020-03-09 |
| 1841838901 | Cross Care of North Texas LLC | Clinic/Center | 2401 Willow Oak Dr, Irving, TX 75060-6965 | 2019-12-19 |
| 1255978722 | Medco Er Carrollton, LLC | Clinic/Center | 2745 E Belt Line Rd, Carrollton, TX 75006-5436 | 2019-12-04 |
| Find all providers with the same taxonomy | ||||
| City | COLLEGE STATION |
| Zip Code | 77845 |
Please comment or provide details below to improve the information on BRAZOS VALLEY HOSPITAL, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.