Physicians Surgical Hospitals, LLC
Organization Active NPI General Acute Care Hospital · Amarillo, TX
NPI 1912948845 · NPPES record last updated Apr 22, 2021
Key facts
- NPI
- 1912948845
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- 008529 (TX)
- Legal business name
- PHYSICIANS SURGICAL HOSPITALS, LLC
- Practice address
- 6819 Plum Creek Dr
Amarillo, TX 79124-1602 - Phone
- (806) 354-6100
- Fax
- (806) 354-6101
- NPI assigned
- Jun 10, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Todd Greene
- Title
- Ceo
- Phone
- (806) 212-0244
Member of 2
Facilities with the same owner 61
Practitioners 1
-
Mitesh Patel, M.D.
Affiliated clinicians 190
-
Sumer Al-Alusi, M.D.
-
Brendan C Albracht, D.O.
-
Douglas A Albracht, D.O.
-
Chimay N Allis, APRN, FNP-C
-
Julie Ray Allman, M.D.
-
John L Andrew, MD
-
Josh Taylor Annett, CRNA
-
Antonio V Aragon II, M.D.
-
Estelle Archer, M.D.
-
Stephanie Faith Archer, APRN
-
Gayle Yvonne Ayers, D.O.
-
Jennifer Lynn Baker, FNP-C
-
Luis C Barboza, MD
-
John Mark Bennett, CRNA
-
Deni Berry, FNP-C
-
Aaron Bischof, PA-C
-
Melanie Layne Black, FNP-C
-
Kimberly Nicole Borden, FNP-C
-
Todd Wesley Bradshaw, M.D.
-
Cislyn Blake Brantley, CRNA
Medicare Care Compare: Hospital
- Listed as
- Quail Creek Surgical Hospital
- Type
- Acute Care Hospitals
- Ownership
- Proprietary
- Medicare certification status
- Active
- Emergency services
- Yes
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2141217 | Quail Creek Surgical Hospital | Certificate of waiver | Dec 10, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Hospital certification: CCN 450875
- Legal name
- PHYSICIANS SURGICAL HOSPITALS, LLC
- Doing business as
- QUAIL CREEK SURGICAL HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jan 13, 2004
- Last certification
- Apr 18, 2025
- Beds
- 39
- Ownership / control type
- Private (for profit)
- Organization structure
- LLC · Proprietary
- Incorporated
- Jun 1, 2007 in TX
- Enrollment address
- 6819 Plum Creek Dr
Amarillo, TX 79124-1602 - Hospital subgroups
- General
All disclosed owners & managing parties 10
| Name | Role | Since | Share |
|---|---|---|---|
| Ardent Health Inc |
5% Or Greater Indirect Ownership Interest | Jan 1, 2013 | 58.78% |
| Michael Cruz |
Corporate Director |
Jan 1, 2011 | |
| W-2 Managing Employee |
Jun 19, 2025 | 100% | |
| Bsa Health System of Amarillo LLC |
5% Or Greater Indirect Ownership Interest | Jan 1, 2013 | 58.78% |
| Ahs Bsa, LLC |
5% Or Greater Indirect Ownership Interest | Jan 1, 2019 | 58.78% |
| Mary a Crabtree |
Corporate Officer |
Jul 1, 2023 | |
| Ahs Management Company Inc. |
Operational/Managerial Control | Jan 1, 2019 | 100% |
| Stephen C Petrovich |
Corporate Officer |
Jun 28, 2011 | |
| Bsa Health System Holdings LLC |
5% Or Greater Indirect Ownership Interest | Jul 1, 2019 | 58.78% |
| Ardent Legacy Holdings LLC |
5% Or Greater Indirect Ownership Interest | Jan 1, 2013 | 58.78% |
| Ahp Health Partners, Inc |
5% Or Greater Indirect Ownership Interest | Jan 1, 2013 | 58.78% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030929000004 | TX | Part a Provider - Hospital | 3870404866 | Practice locations: Amarillo, TX |
National Provider Directory
Locations
1900 S Coulter St
Ste A
Amarillo, TX 79106
Phone (806) 354-9400
7010 W 9th Ave
Amarillo, TX 79106
Phone (806) 212-4624
6900 John David Cir
Amarillo, TX 79124
Phone (806) 212-8400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 008529 | TX | Yes |
Addresses
Primary practice location
6819 Plum Creek Dr
Amarillo, TX 79124-1602
Mailing address
6819 Plum Creek Dr
Amarillo, TX 79124-1602
Phone (806) 354-6100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1653057 | Medicaid | TX |
Other providers in Amarillo, TX
- Physical Therapy Today of Lubbock, LP
- Physician Ancillary Services, Inc.
- Physicians Hearing Center
- Physicians Hearing Center
- Physicians Preferred Laboratory LTD
- Jeffrey S Pickens
- Cory James Pickett
- Nina Pigg
- GN Pillai
- Lakshmi Pillai
All providers in Amarillo, TX · General Acute Care Hospital in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.