EBD BEMC BURLESON, LLC (NPI# 1598196206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598196206 |
| Entity Type | Organization |
| Organization Name | EBD BEMC BURLESON, LLC |
| Other Organization Name | BAYLOR EMERGENCY MEDICAL CENTER AT MANSFIELD |
| Practice Address |
1776 N. U.S. 287 Suite 100 Mansfield TX 76063 |
| Mailing Address |
8686 New Trails Dr Suite 100 The Woodlands TX 77381-1176 |
| Practice Telephone | 2142946300 |
| Practice Fax Number | 7136371305 |
| Mailing Telephone | 7136371144 |
| Mailing Fax Number | 2812923585 |
| Enumeration Date | 2013-12-05 |
| Last Update Date | 2018-10-23 |
| Authorized Official Name | MRS. TINA JOHNSON (PROVIDER ENROLLMENT COORDINATOR) |
| Authorized Official Telephone | 7136371146 |
| Is Organization Subpart | Y |
| Parent Organization Name | EBD BEMC BURLESON, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 348928801 | 05 |
| Other Name | Type Code |
|---|---|
| Baylor Emergency Medical Center at Mansfield | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831629526 | Ebd Bemc Burleson, LLC | General Acute Care Hospital | 3095 Kingswood Blvd, Suite 100, Grand Prairie, TX 75052 | 2017-06-14 |
| 1679903967 | Ebd Bemc Burleson, LLC | General Acute Care Hospital | 12500 South Fwy, Suite 100, Burleson, TX 76028-7004 | 2013-11-22 |
| Street Address |
1776 N. U.S. 287 SUITE 100 |
| City | MANSFIELD |
| State | TX |
| Zip Code | 76063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316558349 | Lindsey Vandyke, D.o. Pllc | Internal Medicine | 3150 E Broad Street, Ste 100, Mansfield, TX 76063 | 2020-08-13 |
| 1942819867 | Jennifer Que Chau Nguyen | Pharmacist | 980 U.S. 287 Frontage Rd #287, Mansfield, TX 76063 | 2020-07-27 |
| 1194346890 | Ana Maria Gonzalez | Dentist | 1600 Us Highway 287, Suite 102, Mansfield, TX 76063 | 2020-05-04 |
| 1245869080 | Stateserv Medical of Texas, LLC | Durable Medical Equipment & Medical Supplies | 7941 Rodeo Trail, Mansfield, TX 76063 | 2020-04-03 |
| 1649802232 | Mary Puanani Kamai | Nurse Practitioner | 1301 E. Debbie Lane, Suite 102 #1405, Mansfield, TX 76063 | 2020-02-11 |
| 1770123028 | Gladys Vera Nfodzo | Nurse Practitioner | 901 W. Broad St, Mansfield, TX 76063 | 2020-01-14 |
| 1669011300 | Alexa Smith | Nurse Practitioner | 2800 E Broad St #304, Mansfield, TX 76063 | 2019-12-28 |
| 1477190437 | Mel Rockwall LLC | Optometrist | 1701 East Broad Street, Ste 109, Mansfield, TX 76063 | 2019-12-09 |
| 1376185512 | Daniel Max & Marcandrea LLC | Optometrist | 1701 East Broad St., Ste 109, Mansfield, TX 76063 | 2019-10-09 |
| 1861046385 | Lacey Eaton | Counselor | 805 Killian Dr, Mansfield, TX 76063 | 2019-08-01 |
| Find all providers in zip 76063 | ||||
| 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 |
|---|---|---|---|---|
| 1689629941 | Methodist Hospitals of Dallas | General Acute Care Hospital | 2700 E Broad St, Mansfield, TX 76063-5899 | 2006-05-24 |
| 1467455154 | Desoto Hospital Association | General Acute Care Hospital | 207 Jefferson St, Mansfield, LA 71052-2603 | 2005-05-27 |
| 1396220604 | Tmc Mansfield, LLC | General Acute Care Hospital | 1710 Highway 287 N, Mansfield, TX 76063-7630 | 2018-10-02 |
| 1679730667 | Desoto Hospital Association | General Acute Care Hospital | 207 Jefferson St, Mansfield, LA 71052-2603 | 2008-05-19 |
| 1790837235 | Medcentral Health System | General Acute Care Hospital | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2007-01-17 |
| 1962488411 | Scci Hospital Mansfield Inc | General Acute Care Hospital | 335 Glessner Ave, 5th Floor, Mansfield, OH 44903 | 2005-12-16 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.