Bsa Hospital LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

BSA HOSPITAL LLC

Practice address

1600 Wallace Blvd
Amarillo, TX 79106-1799

Phone

(615) 296-3000

Fax

(615) 296-6011

NPI assigned

Dec 18, 2012

Last updated

May 15, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

BSA HEALTH SYSTEM OF AMARILLO LLCAs reported in NPPES

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

Authorized official

Name

Stephen C Petrovich

Title

SVP

Phone

(615) 296-3000

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Baptist Community Services

  dba Ware Memorial Care Center

  • Skilled Nursing Facility
  • Amarillo, TX
  • NPI 1619017332

  Member Of

  NPD member

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Javier Fernando Dieguez, M.D.

  • Pulmonary Disease Physician
  • Amarillo, TX
  • NPI 1497061527
  NPD (past)
• Sergio Edgardo Muniz, M.D.

  • Pulmonary Disease Physician
  • Amarillo, TX
  • NPI 1710076120
  NPD (past)

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

{
    "created_epoch": "1355788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368576000000",
    "number": "1417293549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BURTON HILLS BLVD",
            "address_2": "SUITE 250",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156293",
            "telephone_number": "615-296-3000",
            "fax_number": "615-296-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 WALLACE BLVD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061799",
            "telephone_number": "615-296-3000",
            "fax_number": "615-296-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BSA HOSPITAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BSA HEALTH SYSTEM OF AMARILLO LLC",
        "enumeration_date": "2012-12-18",
        "last_updated": "2013-05-15",
        "status": "A",
        "authorized_official_last_name": "PETROVICH",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SVP",
        "authorized_official_telephone_number": "615-296-3000"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bsa Cardiac ASC, LLC
• Bsa Harrington Physicians Inc
• Bsa Harrington Physicians Inc
• Bsa Harrington Physicians, Inc (BSA Harrington Physicians Pharmacy)
• Bsa Hospital LLC
• Bsa Hospital LLC
• Bsa Hospital LLC
• Bsa Hospital LLC (Harrington Breast Center)
• Bsa Hospital LLC
• Bsa Hospital LLC (Baptist St Anthony's Hospice)

• Clinical Medical Laboratory in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.