BSA HOSPITAL LLC
NPI 1831435973
Pharmacy in Amarillo, TX

NPI Status: Active since December 18, 2012

Contact Information

1751 WALLACE BLVD STE A
AMARILLO, TX
ZIP 79106
Phone: (806) 212-4673

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  • Organization
  • Pharmacy
  • CLIA Number: 45D0689477
  • CLIA Cert. Type: Ancillary Testing Site in Health Care Center
  • CLIA Exp. Date: 08-16-2025

About BSA HOSPITAL LLC

This page provides the complete NPI Profile along with additional information for Bsa Hospital Llc, a provider established in Amarillo, Texas operating as a Pharmacy. The healthcare provider is registered in the NPI registry with number 1831435973 assigned on December 2012. The practitioner's primary taxonomy code is 333600000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Stephen C Petrovich (Svp)

NPI
1831435973
Provider Name
BSA HOSPITAL LLC
Entity Type
Organization
Location Address
1751 WALLACE BLVD STE A AMARILLO, TX 79106
Location Phone
(806) 212-4673
Mailing Address
1 BURTON HILLS BLVD SUITE 250 NASHVILLE, TN 37215
Mailing Phone
(615) 296-3000
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
12-18-2012
Last Update Date
01-12-2021
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Location Map

Secondary Locations

  • 1500 Wallace Blvd
    Amarillo, TX 79106
    (806) 359-4673

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy

Taxonomy Code
333600000X
Type
Suppliers
Taxonomy Description
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

STEPHEN C PETROVICH

Authorized Official Title
SVP
Authorized Official Phone
(615) 296-3000

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D0689477
Facility Type
Ancillary Testing Site in Health Care Center
Certificate Effective Date
August 17, 2023
Certificate Expiration Date
August 16, 2025
Laboratory Director
DR. TIMOTHY MOORING
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Bsa Hospital Llc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1831435973
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28618310914
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 6 + 1 + 8 + 3 + 1 + 0 + 9 + 1 + 4 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1831435973 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831435973, enumerated as an "organization" on December 18, 2012.

The provider is located at 1751 WALLACE BLVD STE A AMARILLO, TX 79106 and the phone number is (806) 212-4673.

Pharmacy with taxonomy code 333600000X.