Organization
BSA HOSPITAL, LLC
Active
Other names
BSA Health System EMS
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN C. PETROVICH (VICE PRESIDENT)
(615) 296-3000
Entity
Organization
Contact information
Practice address
615 W HIGHWAY 60, CANYON, TX 79015-7302
(806) 336-8042
Mailing address
615 W HIGHWAY 60, CANYON, TX 79015-7302
(806) 655-7726
(806) 655-5529
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1000883
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000883
TEXAS DEPARTMENT OF STATE HEALTH SERVICES
TX
Enumeration date
02/05/2018
Last updated
07/16/2025
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