Bsa Hospital LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

BSA HOSPITAL LLC

Practice address

1751 Wallace Blvd Ste a
Amarillo, TX 79106-1711

Phone

(806) 212-4673

NPI assigned

Dec 18, 2012

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

  • Skilled Nursing Facility
  • Amarillo, TX
  • NPI 1619017332

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1355788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610409600000",
    "number": "1831435973",
    "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": "1751 WALLACE BLVD STE A",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061711",
            "telephone_number": "806-212-4673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Wallace Blvd",
            "address_purpose": "LOCATION",
            "city": "Amarillo",
            "state": "TX",
            "postal_code": "791061794",
            "country_code": "US",
            "telephone_number": "806-359-4673",
            "fax_number": "806-354-5892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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": "2021-01-12",
        "certification_date": "2021-01-12",
        "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": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bsa Hospital LLC
• Bsa Hospital LLC
• Bsa Hospital LLC
• Bsa Hospital LLC
• Bsa Hospital LLC
• Bsa Hospital LLC
• Bsa Hospital, LLC
• Bsa Physicians Group Inc
• Bsa Physicians Group Inc
• Bsa Physicians Group Inc

• Pharmacy in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; 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.