# METHODIST HOSPITALS OF DALLAS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Methodist Mansfield Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689629941
- **Authorized official:** CRAIG ALLEN BJERKE (EXECUTIVE VP & CFO)
- **Authorized official phone:** (214) 947-4512

## Contact information

- **Practice address:** 2700 E BROAD ST, MANSFIELD, TX 76063-5899
- **Practice address phone:** (682) 622-2000
- **Mailing address:** PO BOX 911875, DALLAS, TX 75391-1875
- **Mailing address phone:** (682) 242-2000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | — |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 05/24/2006
- **Last updated:** 06/12/2024