Vista Hospital of Dallas

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

000359 Issued in TX

Legal business name

VISTA HOSPITAL OF DALLAS

Practice address

2696 W Walnut St
Garland, TX 75042-6441

Phone

(713) 378-3000

Fax

(713) 378-3104

NPI assigned

Jul 25, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Jacquelyn N Pham

Title

Financial Business Services Directo

Phone

(713) 378-3000

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Hospital certification: CCN 450315

Legal name

VISTA HOSPITAL OF DALLAS

Certification status

Terminated Voluntary: merger or closure, Sep 30, 2011

Provider type (POS)

Hospital – Short-term

Participating since

Sep 1, 1972

Last certification

Jul 27, 2006

Beds

79

Ownership / control type

Private (for profit)

Most recent change of ownership

Aug 15, 2004 (2 total)

Facility address

2696 West Walnut Street
Garland, TX 75042

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233619200000",
    "number": "1528081429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX DEPT 802-3 4346",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772104346",
            "telephone_number": "713-378-3000",
            "fax_number": "713-378-3104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2696 W WALNUT ST",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750426441",
            "telephone_number": "713-378-3000",
            "fax_number": "713-378-3104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA HOSPITAL OF DALLAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2009-02-03",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "JACQUELYN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "FINANCIAL BUSINESS SERVICES DIRECTO",
        "authorized_official_telephone_number": "713-378-3000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TX",
            "license": "000359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175011901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS #",
            "identifier": "HH1047",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaime Villarreal, D.D.S.
• Evelyn Roxann Villatoro, MSN, APRN, FNP-BC
• Vindental PLLC
• Vision Home Health Care, Inc.
• Visionworks, Inc.
• Vitality Hospice Inc
• Vitora Ventures Inc
• VK Diagnostics
• Cathy D Vo, M.D.
• Thuy N Vo

• General Acute Care Hospital in Garland, TX
• Providers in Garland, TX by specialty
• General Acute Care Hospital in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.