BSA HOSPITAL LLC (NPI# 1407191984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407191984 |
| Entity Type | Organization |
| Organization Name | BSA HOSPITAL LLC |
| Practice Address |
1600 Wallace Blvd Amarillo TX 79106-1799 |
| Mailing Address |
1 Burton Hills Blvd Ste 250 Nashville TN 37215-6195 |
| Practice Telephone | 8062122000 |
| Practice Fax Number | 8062128836 |
| Mailing Telephone | 6152963000 |
| Mailing Fax Number | 6152966011 |
| Enumeration Date | 2012-12-10 |
| Last Update Date | 2013-07-10 |
| Authorized Official Name | STEPHEN C PETROVICH (SVP) |
| Authorized Official Telephone | 6152963000 |
| Is Organization Subpart | Y |
| Parent Organization Name | BSA HEALTH SYSTEM OF AMARILLO LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
TX | Ambulatory Health Care Facilities | |
| Y | 282N00000X | General Acute Care Hospital | TX | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831435965 | Bsa Hospital LLC | Clinic/Center | 1310 Wallace Blvd, Amarillo, TX 79106-1745 | 2012-12-18 |
| 1831435973 | Bsa Hospital LLC | Pharmacy | 1500 Wallace Blvd, Amarillo, TX 79106-1794 | 2012-12-18 |
| 1417293549 | Bsa Hospital LLC | Clinical Medical Laboratory | 1600 Wallace Blvd, Amarillo, TX 79106-1799 | 2012-12-18 |
| 1730425190 | Bsa Hospital LLC | Rehabilitation Unit | 1600 Wallace Blvd, Amarillo, TX 79106-1799 | 2012-12-12 |
| 1609112069 | Bsa Hospital LLC | Radiology | 1600 Wallace Blvd, Amarillo, TX 79106-1799 | 2012-12-12 |
| 1972848166 | Bsa Hospital LLC | Hospice Care, Community Based | 600 N Tyler St, Amarillo, TX 79107-5247 | 2012-11-29 |
| Street Address |
1600 WALLACE BLVD |
| City | AMARILLO |
| State | TX |
| Zip Code | 79106-1799 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932102431 | Agha Zia Haider | Pediatrics | 1600 Wallace Blvd, Nicu, 2nd Floor, Amarillo, TX 79106 | 2005-05-27 |
| 1144821034 | Michelle Lee Fowler | Nurse Practitioner | 1600 Wallace Blvd, Amarillo, TX 79106-1799 | 2020-11-05 |
| 1659978773 | Charlotte Cash | Nurse Practitioner | 1600 Wallace Blvd, Amarillo, TX 79106-1799 | 2020-10-01 |
| 1710518071 | Audrey Wallace | Family Medicine | 1600 Wallace Blvd, Amarillo, TX 79106-1799 | 2020-01-27 |
| 1962042648 | Jamie Denae Polite | Physical Therapy Assistant | 1600 Wallace Blvd, Amarillo, TX 79106-1799 | 2020-01-10 |
| 1336786748 | Shelby Fields | Hospitalist | 1600 Wallace Blvd, Amarillo, TX 79106-1799 | 2019-12-04 |
| 1740833615 | Josh Tabor Longbine | Pharmacist | 1600 Wallace Blvd, Amarillo, TX 79106-1799 | 2019-07-19 |
| 1295392124 | Pranav Dilip Bhakta | Physician Assistant | 1600 Wallace Blvd, Amarillo, TX 79106-1799 | 2019-05-27 |
| 1750844270 | Phyllis Fields | Dietitian, Registered | 1600 Wallace Blvd, Amarillo, TX 79106-1789 | 2019-04-11 |
| 1124581772 | Anita Auers Smith | Dietitian, Registered | 1600 Wallace Blvd, Amarillo, TX 79106-1789 | 2019-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773205 | Nisha Patel | Pharmacist | 1600 S Western Street, Amarillo, TX 79106 | 2020-09-01 |
| 1043851769 | Diana Moore | Pharmacist | 6010 Amarillo Blvd W (119), Amarillo, TX 79106 | 2019-10-03 |
| 1164988127 | Wade Family Services Pllc | Counselor | 1901 Medi Park Dr Suite 130, Amarillo, TX 79106 | 2019-02-14 |
| 1255802963 | Jennifer Cockrum | Hospitalist | Bsa Hospitalist, 1600 Wallace Blvd., Amarillo, TX 79106 | 2018-12-07 |
| 1346736691 | Denise Mills Donnell | Social Worker | 6010 Amarillo Bouldevard West Clc-b, Amarillo, TX 79106 | 2018-07-10 |
| 1124525472 | Abigail Batson | Student in an Organized Health Care Education/Training Program | 1400 S Coulter Street, Suite 1500, Amarillo, TX 79106 | 2018-04-11 |
| 1053812743 | Moc Amarillo, LLC | Skilled Nursing Facility | 1540 Research St., Amarillo, TX 79106 | 2018-02-27 |
| 1013459437 | Larry G. Schulz | Durable Medical Equipment & Medical Supplies | 1901 Medi Park Dr Ste 219, Amarillo, TX 79106 | 2016-11-16 |
| 1922453315 | Omar Saeed M Alzhrani | Student in an Organized Health Care Education/Training Program | 1400 S. Coulter - Suite 5100, Amarillo, TX 79106 | 2016-05-04 |
| 1972967529 | David Wayne Hohon | Internal Medicine | Bsa Physician Group, 1600 Wallace Blvd., Amarillo, TX 79106 | 2016-04-11 |
| Find all providers in zip 79106 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487815593 | Chiyyarath V Sreenivasan M D | General Acute Care Hospital | 800 Quail Creek Dr Ste 101, Amarillo, TX 79124-1634 | 2008-06-20 |
| 1891814679 | High Plains Hospital Lp | General Acute Care Hospital | 7501 Wallace Blvd, Amarillo, TX 79124-2150 | 2007-03-29 |
| 1114910882 | Veterans Hospital | General Acute Care Hospital | 6902 Amarillo Blvd. West, Amarillo, TX 79124 | 2005-08-26 |
| 1801346143 | Thomas E. Creek Vahcs | General Acute Care Hospital | 6010 W Amarillo Blvd, Amarillo, TX 79106-1990 | 2016-10-11 |
| 1033362835 | Thomas E. Creek Veterans Affairs Medical Center | General Acute Care Hospital | 6010 W Amarillo Blvd, Amarillo, TX 79106-1990 | 2008-10-24 |
| 1750474516 | Northwest Texas Surgical Hospital, LLC | General Acute Care Hospital | 3501 Soncy Road, Suite #118, Amarillo, TX 79118 | 2006-10-02 |
| 1437168309 | Va Medical Center | General Acute Care Hospital | 6010 W Amarillo Blvd, Va Medical Center, Amarillo, TX 79106-1990 | 2006-08-07 |
| 1003842212 | Northwest Texas Surgical Hospital, LLC | General Acute Care Hospital | 3501 S Soncy Rd, Suite 118, Amarillo, TX 79119-6405 | 2006-06-23 |
| 1912948845 | Physicians Surgical Hospitals, LLC | General Acute Care Hospital | 6819 Plum Creek Dr, Amarillo, TX 79124-1602 | 2006-06-10 |
| 1225087794 | Amarillo Vamc | General Acute Care Hospital | 6010 W Amarillo Blvd, Amarillo, TX 79106-1990 | 2006-05-10 |
| Find all providers in AMARILLO | ||||
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| 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.