Organization Active NPI

SWSC-Hurst, L.P.

Doing business as Southwest Surgical Hospital

  • Special Hospital
  • Hurst, TX
National Provider Identifier
1679503858
Registry record updated Apr 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Special HospitalTaxonomy code 284300000X
License
008123 Issued in TX
Legal business name
SWSC-HURST, L.P.
Doing business as
Southwest Surgical Hospital
Practice address
1612 Hurst Town Center Dr
Hurst, TX 76054-6236
Phone
(817) 345-4100
NPI assigned
Jul 4, 2006
Last updated
Apr 14, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2010

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

Authorized official

Name
Trudy Kay Wiig
Title
Chief Executive Officer
Phone
(817) 345-4100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Special Hospital 284300000X 008123 TX Primary

Addresses

Primary practice location

1612 Hurst Town Center Dr
Hurst, TX 76054-6236

Mailing address

1612 Hurst Town Center Dr
Hurst, TX 76054-6236
Phone (817) 345-4100

Other identifiers 1

IdentifierTypeStateIssuer
1722621-01MedicaidTX

Other names 1

  • SOUTHWEST SURGICAL HOSPITAL 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 1679503858. Details of each certification follow.

Hospital certification: CCN 450886

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
SOUTHWEST SURGICAL HOSPITAL
Certification status
Terminated Voluntary: merger or closure, Nov 15, 2012
Provider type (POS)
Hospital – Short-term
Participating since
Oct 25, 2004
Last certification
Oct 22, 2004
Beds
23
Ownership / control type
Private (for profit)
Facility address
1612 Hurst Town Center Drive
Hurst, TX 76054

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271203200000",
    "number": "1679503858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 HURST TOWN CENTER DR",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760546236",
            "telephone_number": "817-345-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 HURST TOWN CENTER DR",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760546236",
            "telephone_number": "817-345-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWSC-HURST, L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2010-04-14",
        "status": "A",
        "authorized_official_last_name": "WIIG",
        "authorized_official_first_name": "TRUDY",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "817-345-4100"
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "TX",
            "license": "008123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1722621-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTHWEST SURGICAL HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hurst, TX

Sources for this page

Verify at the official NPI Registry.