BSA HOSPITAL LLC (NPI# 1730425190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730425190 |
| Entity Type | Organization |
| Organization Name | BSA HOSPITAL LLC |
| Practice Address |
1600 Wallace Blvd Amarillo TX 79106-1799 |
| Mailing Address |
1 Burton Hills Blvd Suite 250 Nashville TN 37215-6293 |
| Practice Telephone | 8062122000 |
| Practice Fax Number | 8062128836 |
| Mailing Telephone | 6152963000 |
| Mailing Fax Number | 6152966011 |
| Enumeration Date | 2012-12-12 |
| Last Update Date | 2012-12-13 |
| Authorized Official Name | STEPHEN C PETROVICH (SVP) |
| Authorized Official Telephone | 6152963000 |
| Is Organization Subpart | Y |
| Parent Organization Name | BSA HEALTH SYSTEM OF AMARILLO LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273Y00000X | Rehabilitation Unit | TX | Hospital Units |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831435965 | Bsa Hospital LLC | Clinic/Center | 1310 Wallace Blvd, Amarillo, TX 79106-1745 | 2012-12-18 |
| 1831435973 | Bsa Hospital LLC | Pharmacy | 1500 Wallace Blvd, Amarillo, TX 79106-1794 | 2012-12-18 |
| 1417293549 | Bsa Hospital LLC | Clinical Medical Laboratory | 1600 Wallace Blvd, Amarillo, TX 79106-1799 | 2012-12-18 |
| 1609112069 | Bsa Hospital LLC | Radiology | 1600 Wallace Blvd, Amarillo, TX 79106-1799 | 2012-12-12 |
| 1407191984 | Bsa Hospital LLC | Clinic/Center | 1600 Wallace Blvd, Amarillo, TX 79106-1799 | 2012-12-10 |
| 1972848166 | Bsa Hospital LLC | Hospice Care, Community Based | 600 N Tyler St, Amarillo, TX 79107-5247 | 2012-11-29 |
| Street Address |
1600 WALLACE BLVD |
| City | AMARILLO |
| State | TX |
| Zip Code | 79106-1799 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932102431 | Agha Zia Haider | Pediatrics | 1600 Wallace Blvd, Nicu, 2nd Floor, Amarillo, TX 79106 | 2005-05-27 |
| 1144821034 | Michelle Lee Fowler | Nurse Practitioner | 1600 Wallace Blvd, Amarillo, TX 79106-1799 | 2020-11-05 |
| 1659978773 | Charlotte Cash | Nurse Practitioner | 1600 Wallace Blvd, Amarillo, TX 79106-1799 | 2020-10-01 |
| 1710518071 | Audrey Wallace | Family Medicine | 1600 Wallace Blvd, Amarillo, TX 79106-1799 | 2020-01-27 |
| 1962042648 | Jamie Denae Polite | Physical Therapy Assistant | 1600 Wallace Blvd, Amarillo, TX 79106-1799 | 2020-01-10 |
| 1336786748 | Shelby Fields | Hospitalist | 1600 Wallace Blvd, Amarillo, TX 79106-1799 | 2019-12-04 |
| 1740833615 | Josh Tabor Longbine | Pharmacist | 1600 Wallace Blvd, Amarillo, TX 79106-1799 | 2019-07-19 |
| 1295392124 | Pranav Dilip Bhakta | Physician Assistant | 1600 Wallace Blvd, Amarillo, TX 79106-1799 | 2019-05-27 |
| 1750844270 | Phyllis Fields | Dietitian, Registered | 1600 Wallace Blvd, Amarillo, TX 79106-1789 | 2019-04-11 |
| 1124581772 | Anita Auers Smith | Dietitian, Registered | 1600 Wallace Blvd, Amarillo, TX 79106-1789 | 2019-04-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773205 | Nisha Patel | Pharmacist | 1600 S Western Street, Amarillo, TX 79106 | 2020-09-01 |
| 1043851769 | Diana Moore | Pharmacist | 6010 Amarillo Blvd W (119), Amarillo, TX 79106 | 2019-10-03 |
| 1164988127 | Wade Family Services Pllc | Counselor | 1901 Medi Park Dr Suite 130, Amarillo, TX 79106 | 2019-02-14 |
| 1255802963 | Jennifer Cockrum | Hospitalist | Bsa Hospitalist, 1600 Wallace Blvd., Amarillo, TX 79106 | 2018-12-07 |
| 1346736691 | Denise Mills Donnell | Social Worker | 6010 Amarillo Bouldevard West Clc-b, Amarillo, TX 79106 | 2018-07-10 |
| 1124525472 | Abigail Batson | Student in an Organized Health Care Education/Training Program | 1400 S Coulter Street, Suite 1500, Amarillo, TX 79106 | 2018-04-11 |
| 1053812743 | Moc Amarillo, LLC | Skilled Nursing Facility | 1540 Research St., Amarillo, TX 79106 | 2018-02-27 |
| 1013459437 | Larry G. Schulz | Durable Medical Equipment & Medical Supplies | 1901 Medi Park Dr Ste 219, Amarillo, TX 79106 | 2016-11-16 |
| 1922453315 | Omar Saeed M Alzhrani | Student in an Organized Health Care Education/Training Program | 1400 S. Coulter - Suite 5100, Amarillo, TX 79106 | 2016-05-04 |
| 1972967529 | David Wayne Hohon | Internal Medicine | Bsa Physician Group, 1600 Wallace Blvd., Amarillo, TX 79106 | 2016-04-11 |
| Find all providers in zip 79106 | ||||
| Taxonomy Code | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356777502 | Northwest Texas Healthcare System Inc | Rehabilitation Unit | 1501 S Coulter St, Amarillo, TX 79106-1770 | 2013-09-19 |
| 1336269059 | High Plains Hospital Lp Rehab | Rehabilitation Unit | 7501 Wallace Blvd, Amarillo, TX 79124-2150 | 2007-03-29 |
| 1891762860 | Baptist St. Anthony's Hospital Corporation | Rehabilitation Unit | 1600 Wallace Blvd, Amarillo, TX 79106-1799 | 2006-03-08 |
| 1063402873 | Northwest Texas Healthcare System, Inc. | Rehabilitation Unit | 1501 S Coulter St, Amarillo, TX 79106-1770 | 2005-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346793890 | Chukwuemeka Ozonwankwo | Rehabilitation Unit | 2111 Washington Cir, Apt 120, Arlington, TX 76011-3320 | 2016-08-02 |
| 1942650577 | Unlocking The Spectrum | Rehabilitation Unit | 9911 Sundew Cir, Houston, TX 77070-1992 | 2016-06-14 |
| 1669851879 | Supplemental Healthcare Inc. | Rehabilitation Unit | 333 Holly Creek Ct Apt 1708, The Woodlands, TX 77381 | 2015-05-20 |
| 1740683200 | Baptist Health System | Rehabilitation Unit | 5630 W Loop 1604 N Ste 108, San Antonio, TX 78251-3806 | 2014-09-29 |
| 1568899391 | Hillcrest Baptist Medical Center | Rehabilitation Unit | 100 Hillcrest Medical Blvd Fl 2, Waco, TX 76712-8897 | 2013-10-11 |
| 1194022749 | Mmc Therapy Enterprises, LLC | Rehabilitation Unit | 4951 Long Prairie Road, Suite 110, Flower Mound, TX 75028 | 2011-02-17 |
| 1437453545 | Vitality Chiropractic and Wellness | Rehabilitation Unit | 1205 Meadowlark Dr, Little Elm, TX 75068-4653 | 2011-01-04 |
| 1699832303 | Procare Therapies PC | Rehabilitation Unit | 515 E. Business Hwy. 83, Suite A, Alamo, TX 78516 | 2007-01-02 |
| 1386705390 | Sierra Providence Health Network | Rehabilitation Unit | 81 Camille Apt 44, El Paso, TX 79912-0011 | 2006-12-13 |
| 1831276930 | Harris County Hospital District | Rehabilitation Unit | 3601 North Macgregor Way, Houston, TX 77004-8004 | 2006-11-01 |
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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.