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EBD BEMC BURLESON LLC NPI 1598196206


NPI Information

NPI: 1598196206
Provider Name: EBD BEMC BURLESON, LLC

Doing Business As: BAYLOR EMERGENCY MEDICAL CENTER AT MANSFIELD

Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization

CLIA Number: 45D2079591

Address:
1776 N. U.S. 287
SUITE 100
MANSFIELD, TX
ZIP 76063
Phone: (214) 294-6300
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EBD BEMC BURLESON, LLC is a general acute care hospital in Mansfield, TX. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. EBD BEMC BURLESON, LLC NPI is 1598196206. The provider is registered as an organization entity type.
The provider Is Doing Business As Baylor Emergency Medical Center At Mansfield.

The provider's business location address is:

1776 N. U.S. 287
SUITE 100
MANSFIELD, TX
ZIP 76063
Phone: (214) 294-6300
Fax: (713) 637-1305

The provider's authorized official is Tina Johnson .
The authorized official title is Provider Enrollment Coordinator and has the following contact phone number (713) 637-1146.

The CLIA number assigned to this NPI record is 45D2079591 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 12/5/2013 and was last updated on 10/23/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1282N00000XGeneral Acute Care HospitalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1348928801MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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