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NPI Code Detail

MEDICARE: SCOTT & WHITE HOSPITAL BRENHAM

MEDICARE: SCOTT & WHITE HOSPITAL BRENHAM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QA1903XAmbulatory Surgical Clinic/Center
2282NC0060XCritical Access Hospital

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154315307
Entity Type Code : Organization
Provider Name (Legal Business Name) : SCOTT & WHITE HOSPITAL BRENHAM
Provider Business Mailing Address
First Line : PO BOX 844658
Second Line :
City : DALLAS
State : TX
Zip : 75284-4658
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 700 MEDICAL PKWY
Second Line :
City : BRENHAM
State : TX
Zip : 77833-5413
Country : US
Telephone Number : 979-337-5000
Fax Number :
Authorized Official
Title or Position : CEO
Name : JASON D JENNINGS
Credential :
Telephone Number : 979-207-4043
Provider Enumeration Date : 09/02/2005
Last Update Date : 03/04/2026

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Directions to “SCOTT & WHITE HOSPITAL BRENHAM ” Practice Location

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