Organization Active NPI

PSG Mid-Cities Medical Center, LLC

Doing business as Saint Camillus Medical Center

  • General Acute Care Hospital
  • Hurst, TX
National Provider Identifier
1750749313
Registry record updated Feb 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
PSG MID-CITIES MEDICAL CENTER, LLC
Doing business as
Saint Camillus Medical Center
Practice address
1612 Hurst Town Center Dr
Hurst, TX 76054-6236
Phone
(214) 572-7131
NPI assigned
Feb 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2016

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

Authorized official

Name
Corazon Ramirez, M.D.
Title
Chief Executive Officer
Phone
(214) 572-7131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 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

Other names 1

  • Saint Camillus Medical Center Doing business as

Care Compare: Hospital

Medicare Care Compare
Listed as
Saint Camillus Medical CenterCCN 670121
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1455062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455062400000",
    "number": "1750749313",
    "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"
        },
        {
            "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": "214-572-7131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSG MID-CITIES MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-10",
        "last_updated": "2016-02-10",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ",
        "authorized_official_first_name": "CORAZON",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "214-572-7131",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saint Camillus Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hurst, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; 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.