METHODIST HOSPITALS OF DALLAS (NPI# 1689629941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689629941 |
| Entity Type | Organization |
| Organization Name | METHODIST HOSPITALS OF DALLAS |
| Other Organization Name | METHODIST MANSFIELD MEDICAL CENTER |
| Practice Address |
2700 E Broad St Mansfield TX 76063-5899 |
| Mailing Address |
Po Box 911875 Dallas TX 75391-1875 |
| Practice Telephone | 6826222000 |
| Mailing Telephone | 6822422000 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2020-06-25 |
| Authorized Official Name | CRAIG ALLEN BJERKE (EXECUTIVE VP & CFO) |
| Authorized Official Telephone | 2149474512 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 186221101 | 05 | |
| TX | MEDICAID HASCO NUMBER | 186221102 | 01 |
| Other Name | Type Code |
|---|---|
| Methodist Mansfield Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487271375 | Methodist Hospitals of Dallas | General Acute Care Hospital | 1201 E Us Hwy 287, Midlothian, TX 76065 | 2020-06-26 |
| 1184911521 | Methodist Hospitals of Dallas | General Acute Care Hospital | 1441 N Beckley Ave, Dallas, TX 75203-1201 | 2011-07-06 |
| 1447560404 | Methodist Hospitals of Dallas | Pharmacy | 403 W Campbell Rd, Suite 101, Richardson, TX 75080-3465 | 2010-10-08 |
| 1811142359 | Methodist Hospitals of Dallas | Psychiatric Unit | 401 W Campbell Rd, Richardson, TX 75080-3416 | 2008-11-25 |
| 1013066851 | Methodist Hospitals of Dallas | General Acute Care Hospital | 1441 N Beckley Ave, Dallas, TX 75203-1201 | 2007-01-10 |
| 1033165501 | Methodist Hospitals of Dallas | Clinic/Center | 2831 E President George Bush Hwy, Richardson, TX 75082-3561 | 2006-05-26 |
| 1417917121 | Methodist Hospitals of Dallas | Rehabilitation Unit | 1441 N Beckley Ave, Dallas, TX 75203-1201 | 2006-03-25 |
| 1275592131 | Methodist Hospitals of Dallas | General Acute Care Hospital | 3500 W Wheatland Rd, Dallas, TX 75237-3460 | 2006-03-20 |
| 1528027786 | Methodist Hospitals of Dallas | General Acute Care Hospital | 1441 N Beckley Ave, Dallas, TX 75203-1201 | 2006-03-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | METHODIST HOSPITALS OF DALLAS | 401 W Campbell Road, Richardson, TX 75080-3416 |
| Street Address |
2700 E BROAD ST |
| City | MANSFIELD |
| State | TX |
| Zip Code | 76063-5899 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609480466 | Caine Salazar | Specialist/Technologist, Other | 2700 E Broad St, Mansfield, TX 76063-5899 | 2020-08-31 |
| 1225568686 | Michael Humiston | Specialist/Technologist, Other | 2700 E Broad St, Mansfield, TX 76063-5899 | 2017-06-18 |
| 1316472947 | Kelsey Christine English | Emergency Medicine | 2700 E Broad St, Mansfield, TX 76063-5899 | 2017-04-20 |
| 1588035976 | Shane M Tackitt | Internal Medicine | 2700 E Broad St, Mansfield, TX 76063-5899 | 2015-10-12 |
| 1861747115 | David Giovanni Minna | Internal Medicine | 2700 E Broad St, Mansfield, TX 76063-5899 | 2012-07-23 |
| 1518237429 | Lonestar Hospital Medicine Associates, Pa | Emergency Medicine | 2700 E Broad St, Mansfield, TX 76063-5899 | 2012-01-09 |
| 1598041881 | Kathy J Thompson | Nurse Practitioner | 2700 E Broad St, Mansfield, TX 76063-5899 | 2011-10-31 |
| 1528358025 | Alan L Blankenship Jr. | Emergency Medicine | 2700 E Broad St, Mansfield, TX 76063 | 2011-04-18 |
| 1073803938 | Hospitalist Partners of Excellence In Mansfield (h.o.p.e), Pa | Hospitalist | 2700 E Broad St, Mansfield, TX 76063-5899 | 2011-04-12 |
| 1770891343 | Emily Forbes | Nurse Practitioner | 2700 E Broad St, Mansfield, TX 76063-5899 | 2010-09-17 |
| Find all providers in the same location | ||||
| 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 |
|---|---|---|---|---|
| 1598196206 | Ebd Bemc Burleson, LLC | General Acute Care Hospital | 1776 N. U.S. 287, Suite 100, Mansfield, TX 76063 | 2013-12-05 |
| 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 |
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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.