VISTA HOSPITAL OF DALLAS (NPI# 1528081429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528081429 |
| Entity Type | Organization |
| Organization Name | VISTA HOSPITAL OF DALLAS |
| Practice Address |
2696 W Walnut St Garland TX 75042-6441 |
| Mailing Address |
Po Box Dept 802-3 4346 Houston TX 77210-4346 |
| Practice Telephone | 7133783000 |
| Practice Fax Number | 7133783104 |
| Mailing Telephone | 7133783000 |
| Mailing Fax Number | 7133783104 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2009-02-03 |
| Authorized Official Name | MS. JACQUELYN N PHAM (FINANCIAL BUSINESS SERVICES DIRECTO) |
| Authorized Official Telephone | 7133783000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 000359 | TX | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS # | HH1047 | 01 |
| TX | 175011901 | 05 |
| Street Address |
2696 W WALNUT ST |
| City | GARLAND |
| State | TX |
| Zip Code | 75042-6441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275516981 | Jose Rolando Rivas | Emergency Medicine | 2696 W Walnut St, Garland, TX 75042 | 2005-11-28 |
| 1700441086 | Perimeter Behavioral Hospital of Garland, LLC | Psychiatric Hospital | 2696 W Walnut St, Garland, TX 75042-6441 | 2019-05-02 |
| 1710404306 | Maxine C Okafor | Nurse Practitioner | 2696 W Walnut St, Garland, TX 75042-6441 | 2017-08-24 |
| 1578002143 | Jessica Hornage | Counselor | 2696 W Walnut St, Garland, TX 75042-6441 | 2017-02-15 |
| 1063954766 | Summit Psychiatric Associates, Pllc | Psychiatry & Neurology | 2696 W Walnut St, Garland, TX 75042-6441 | 2016-11-11 |
| 1003298357 | Hitesh Pandya Pllc | Psychologist | 2696 W Walnut St, Garland, TX 75042-6441 | 2015-06-23 |
| 1093979510 | Zmk Management | General Acute Care Hospital | 2696 W Walnut St, Garland, TX 75042-6441 | 2008-07-14 |
| 1174795207 | Affinity Hospital Dallas | General Acute Care Hospital | 2696 W Walnut St, Garland, TX 75042-6441 | 2008-03-28 |
| 1710007927 | Bariatric Center of Dallas | General Acute Care Hospital | 2696 W Walnut St, Garland, TX 75042-6441 | 2007-03-30 |
| 1942210471 | Ruth Wachendorfer | Internal Medicine | 2696 W Walnut St, Garland, TX 75042-6441 | 2006-08-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699259697 | Abiodun Gloria Irabor-musa | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3106 Centennial Dr, Garland, TX 75042 | 2018-09-17 |
| 1356870620 | Brad Taylor Landrum | Family Medicine | 601 Clara Barton Blvd., Suite 340, Garland, TX 75042 | 2017-06-08 |
| 1043662034 | Alicia Valdiviezo | Physician Assistant | 2046 Forest Ln Ste 130, Garland, TX 75042 | 2016-07-01 |
| 1053711184 | Jamette Hickman | Physical Therapist | 705 Walter Reed Blvd Suite 100, Garland, TX 75042 | 2014-08-26 |
| 1619397932 | Saint Catherine Hospice Inc. | Hospice, Inpatient | 4229 Glenhaven Drive, Garland, TX 75042 | 2014-04-25 |
| 1821424094 | Angel Care Team | Adult Companion | 1801 Evelyn Dr., Garland, TX 75042 | 2013-09-19 |
| 1427311042 | Baylor Family Medicine Clinic | Case Manager/Care Coordinator | 601 Clara Barton, 340, Garland, TX 75042 | 2012-06-19 |
| 1003176959 | Benedict Eric Homer | Dentist | 813 North Jupiter Rd., Garland, TX 75042 | 2012-05-25 |
| 1518254929 | Rama Sulochana Narla | Emergency Medicine | 601, Clara Barton Blvd, Ste 340, Garland, TX 75042 | 2011-07-06 |
| 1093002917 | Mecca Group | Community/Behavioral Health | 1213 Patricia Ln, Garland, TX 75042 | 2011-06-29 |
| Find all providers in zip 75042 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932729803 | Dallas Vamc | General Acute Care Hospital | 2300 Marie Curie Dr, Garland, TX 75042-5706 | 2020-04-21 |
| 1093979510 | Zmk Management | General Acute Care Hospital | 2696 W Walnut St, Garland, TX 75042-6441 | 2008-07-14 |
| 1174795207 | Affinity Hospital Dallas | General Acute Care Hospital | 2696 W Walnut St, Garland, TX 75042-6441 | 2008-03-28 |
| 1710007927 | Bariatric Center of Dallas | General Acute Care Hospital | 2696 W Walnut St, Garland, TX 75042-6441 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184233785 | Hendrick Medical Center Brownwood | General Acute Care Hospital | 1501 Burnett Rd, Brownwood, TX 76801-8520 | 2020-07-29 |
| 1487271375 | Methodist Hospitals of Dallas | General Acute Care Hospital | 1201 E Us Hwy 287, Midlothian, TX 76065 | 2020-06-26 |
| 1275177032 | Heights Hospital LLC | General Acute Care Hospital | 1917 Ashland St Ste 600, Houston, TX 77008-3907 | 2019-11-04 |
| 1457994188 | Vhs Harlingen Hospital Company, LLC | General Acute Care Hospital | 1021 W Interstate 2, Weslaco, TX 78596 | 2019-10-25 |
| 1750932117 | Lumberton Hospital LLC | General Acute Care Hospital | 220 Blanco St, Lumberton, TX 77657-8620 | 2019-09-26 |
| 1619524568 | Intermed Rcm, LLC | General Acute Care Hospital | 539 W Commerce St # 310, Dallas, TX 75208-1953 | 2019-08-23 |
| 1841844735 | Emerus Bhs Sa Thousand Oaks, LLC | General Acute Care Hospital | 806 Cupples Rd, San Antonio, TX 78237-4410 | 2019-07-29 |
| 1316505043 | Ethicus Hospital Dfw LLC | General Acute Care Hospital | 1401 E. Trinity Mills Road, Carroliton, TX 75006 | 2019-05-29 |
| 1669954194 | Southcross Hospital LLC | General Acute Care Hospital | 4243 E Southcross Blvd Ste 100, San Antonio, TX 78222-3727 | 2018-08-31 |
| 1356822167 | Stat Emergency Center of Del Rio LLC | General Acute Care Hospital | 2600 Veterans Blvd, Del Rio, TX 78840-3108 | 2018-08-29 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.