NPIMap

Organization Active NPI

Walnut Hill Physicians Hospital, LLC

Doing business as Walnut Hill Medical Center

  • General Acute Care Hospital
  • Dallas, TX
National Provider Identifier
1083056790
Registry record updated Aug 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
WALNUT HILL PHYSICIANS HOSPITAL, LLC
Doing business as
Walnut Hill Medical Center
Practice address
7502 Greenville Avenue
Dallas, TX 75231
Phone
(214) 502-7077
NPI assigned
Jul 23, 2013
Last updated
Aug 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2014

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

Authorized official

Name
Mr. Cory Countryman
Title
Chief Executive Officer
Phone
(214) 502-7077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X NU Primary

Addresses

Primary practice location

7502 Greenville Avenue
Dallas, TX 75231

Mailing address

7502 Greenville Avenue
Dallas, TX 75231
Phone (214) 502-7077

Other names 1

  • Walnut Hill Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083056790. Details of each certification follow.

Hospital certification: CCN 670092

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
WALNUT HILL MEDICAL CENTER
Certification status
Terminated Voluntary: merger or closure, Jun 2, 2017
Provider type (POS)
Hospital – Short-term
Participating since
May 22, 2014
Last certification
May 22, 2014
Beds
100
Ownership / control type
Private (for profit)
Facility address
7502 Greenville Avenue
Dallas, TX 75231

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408320000000",
    "number": "1083056790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7502 GREENVILLE AVENUE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75231",
            "telephone_number": "214-502-7077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7502 GREENVILLE AVENUE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75231",
            "telephone_number": "214-502-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALNUT HILL PHYSICIANS HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-23",
        "last_updated": "2014-08-18",
        "status": "A",
        "authorized_official_last_name": "COUNTRYMAN",
        "authorized_official_first_name": "CORY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "214-502-7077",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walnut Hill Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.