Organization
BSA HOSPITAL, LLC
Active
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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