# BSA HOSPITAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BSA HEALTH SYSTEM OF AMARILLO LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1730425190
- **Legal business name:** BSA HEALTH SYSTEM OF AMARILLO LLC
- **Authorized official:** STEPHEN C PETROVICH (SVP)
- **Authorized official phone:** (615) 296-3000

## Contact information

- **Practice address:** 1600 WALLACE BLVD, AMARILLO, TX 79106-1799
- **Practice address phone:** (806) 212-2000
- **Practice address fax:** (806) 212-8836
- **Mailing address:** 1 BURTON HILLS BLVD, SUITE 250, NASHVILLE, TN 37215-6293
- **Mailing address phone:** (615) 296-3000
- **Mailing address fax:** (615) 296-6011

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 273Y00000X | Rehabilitation Hospital Unit | — | TX | Yes |

## Other

- **Enumeration date:** 12/12/2012
- **Last updated:** 12/13/2012