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Organization

METHODIST HOSPITALS OF DALLAS

Active
Other names
Methodist Mansfield Medical Center
Organization subpart
No

Provider details

NPI number
Authorized official
CRAIG ALLEN BJERKE (EXECUTIVE VP & CFO)
(214) 947-4512
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
282N00000X
General Acute Care Hospital
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
186221101
TX
01
186221102
MEDICAID HASCO NUMBER
TX
Enumeration date
05/24/2006
Last updated
06/12/2024
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