ALLEGIANCE SPECIALTY HOSPITAL OF KILGORE LLC (NPI# 1497925267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497925267 |
| Entity Type | Organization |
| Organization Name | ALLEGIANCE SPECIALTY HOSPITAL OF KILGORE LLC |
| Practice Address |
1612 S Henderson Blvd Kilgore TX 75662-3518 |
| Practice Telephone | 9039843505 |
| Practice Fax Number | 9039834354 |
| Mailing Telephone | 9039843505 |
| Mailing Fax Number | 9039834354 |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2010-12-09 |
| Authorized Official Name | MR. ROCK BORDELON (CEO) |
| Authorized Official Telephone | 3182268202 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282E00000X | Long Term Care Hospital | Hospitals | ||
| N | 273R00000X | Psychiatric Unit | Hospital Units | ||
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| Street Address |
1612 S HENDERSON BLVD |
| City | KILGORE |
| State | TX |
| Zip Code | 75662-3518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700878014 | Laird Memorial Hospital | General Acute Care Hospital | 1612 S Henderson Blvd, Kilgore, TX 75662-3518 | 2005-08-22 |
| 1881080778 | Brandy Leslie | Nurse Practitioner | 1612 S Henderson Blvd, Kilgore, TX 75662-3518 | 2015-04-08 |
| 1407089386 | Allegiance Specialty Hospital of Kilgore | Psychiatric Hospital | 1612 S Henderson Blvd, Kilgore, TX 75662-3518 | 2009-08-26 |
| 1053351254 | Alan S Clark | Emergency Medicine | 1612 S Henderson Blvd, Kilgore, TX 75662-3518 | 2006-06-07 |
| 1336196989 | Paul A Grant Jr | Emergency Medicine | 1612 S Henderson Blvd, Kilgore, TX 75662-3518 | 2006-05-28 |
| 1285680835 | Eulogio Bonsukan | Emergency Medicine | 1612 S Henderson Blvd, Kilgore, TX 75662-3518 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346890621 | Linda Gail Watson | Technician | 190 Glendale St, Kilgore, TX 75662 | 2019-09-18 |
| 1174185151 | Jennifer Darlene Franks | Registered Nurse | 6144 Gateway Center Pmb # 320, Kilgore, TX 75662 | 2019-07-01 |
| 1215363312 | Kilgore Integrated Health Pllc | Chiropractor | 726 Us Highway 259 N, Kilgore, TX 75662 | 2013-09-20 |
| 1407172240 | Jeffrey Alan Davis | Specialist/Technologist | 300 N. Kilgore Street, Kilgore, TX 75662 | 2010-04-19 |
| 1396923777 | Rachel Thunder Rose Wyatt | Physical Therapist | 1200 Dudley Road, Kilgore, TX 75662 | 2008-02-07 |
| 1346313673 | Brookshire Grocery Company | Pharmacy | 747 Hwy 259 North, Attention Pharmacy Dept, Kilgore, TX 75662 | 2006-11-16 |
| 1417026451 | Jeffery John Pinkerton | Optometrist | 800 Highway 259 North, Kilgore, TX 75662 | 2006-11-06 |
| 1831205004 | Joseph Claude De Graffenried Jr. | Dentist | 238 Lawrence St, Kilgore, TX 75662 | 2006-08-21 |
| 1235159500 | Charles Robert Cottier | Chiropractor | 316 Henderson, Kilgome, TX 75662 | 2006-07-20 |
| 1346509494 | Kelton Hospice, Inc. | Hospice Care, Community Based | 1100 Stone Road, Suite 269, Kilgore, TX 75662 | 2012-05-10 |
| Find all providers in zip 75662 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700878014 | Laird Memorial Hospital | General Acute Care Hospital | 1612 S Henderson Blvd, Kilgore, TX 75662-3518 | 2005-08-22 |
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| 1841844735 | Emerus Bhs Sa Thousand Oaks, LLC | General Acute Care Hospital | 806 Cupples Rd, San Antonio, TX 78237-4410 | 2019-07-29 |
| 1316505043 | Ethicus Hospital Dfw LLC | General Acute Care Hospital | 1401 E. Trinity Mills Road, Carroliton, TX 75006 | 2019-05-29 |
| 1669954194 | Southcross Hospital LLC | General Acute Care Hospital | 4243 E Southcross Blvd Ste 100, San Antonio, TX 78222-3727 | 2018-08-31 |
| 1356822167 | Stat Emergency Center of Del Rio LLC | General Acute Care Hospital | 2600 Veterans Blvd, Del Rio, TX 78840-3108 | 2018-08-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.