MEDICARE: BRAZOS HEALTH PARTNERS LLC

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
1	282N00000X	General Acute Care Hospital

General Provider Information

NPI Number	:	1801712013
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRAZOS HEALTH PARTNERS LLC

Provider Business Mailing Address
First Line	:	200 SAND SAGE RD NW
Second Line	:
City	:	LOS LUNAS
State	:	NM
Zip	:	87031-4950
Country	:	US
Telephone Number	:	575-308-7682
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 SAND SAGE RD NW
Second Line	:
City	:	LOS LUNAS
State	:	NM
Zip	:	87031-4950
Country	:	US
Telephone Number	:	575-308-7682
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	TAMMIE HULETT
Credential	:
Telephone Number	:	575-308-7682

Provider Enumeration Date	:	06/24/2026
Last Update Date	:	06/24/2026

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