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SOUTHLAKE SPECIALTY HOSPITAL, LLC
NPI 1629064928
General Acute Care Hospital in Southlake, TX

Active since September 22, 2005
1545 SOUTHLAKE BLVD., SOUTHLAKE, TX 76092(817) 748-8784(817) 748-8787 Get Directions Write a Review

NPPES record last updated: February 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 18, 2025, Jul 28, 2020, Jul 21, 2020 (3 updates tracked since 2020).

About Southlake Specialty Hospital, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHLAKE SPECIALTY HOSPITAL, LLC (NPI 1629064928), doing business as Texas Health Harris Methodist Hospital Southlake, is a healthcare organization registered as a general acute care hospital in Southlake, Texas and active in the NPI registry since September 2005. The organization lists Traci Bernard, President, as its authorized official.

NPPES Registry Identity

NPI1629064928
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameSOUTHLAKE SPECIALTY HOSPITAL, LLC
Location Address1545 SOUTHLAKE BLVD.Southlake, TX 76092-6422
Mailing AddressPo Box 735801Dallas, TX 75373-5801 · (972) 419-6704 · Fax (972) 419-8118
Phone(817) 748-8784
Fax(817) 748-8787
Organization SubpartNo
Authorized OfficialTraci BernardPresident · (817) 748-8784
Enumeration DateSeptember 22, 2005
Last NPPES UpdateFebruary 18, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2025
✔ NPI 1629064928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
License✔ Licensed in TX · 008128
Definition
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.
1545 SOUTHLAKE BLVD., Southlake, TX 76092
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Other Names 1

Doing Business AsTexas Health Harris Methodist Hospital Southlake

Other Identifiers 2

Medicaid1714610-01TX
OtherHH1061TX · Bcbs Provider Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southlake Specialty Hospital, LLC's NPI number?

The NPI number for Southlake Specialty Hospital, LLC is 1629064928. It was assigned to this organization in the NPPES registry on September 22, 2005. The provider is doing business as Texas Health Harris Methodist Hospital Southlake.

Where is Southlake Specialty Hospital, LLC located?

Southlake Specialty Hospital, LLC is located at 1545 Southlake Blvd., Southlake, TX 76092. The listed phone number is (817) 748-8784.

What is Southlake Specialty Hospital, LLC's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

What insurance does Southlake Specialty Hospital, LLC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Southlake Specialty Hospital, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southlake Specialty Hospital, LLC was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.