DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ALLEGIANCE SPECIALTY HOSPITAL OF KILGORE LLC

MEDICARE: ALLEGIANCE SPECIALTY HOSPITAL OF KILGORE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282E00000XLong Term Care Hospital
2273R00000XPsychiatric Hospital Unit
3282N00000XGeneral Acute Care Hospital

General Provider Information

NPI Number : 1497925267
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALLEGIANCE SPECIALTY HOSPITAL OF KILGORE LLC
Provider Business Mailing Address
First Line : 1612 S HENDERSON BLVD
Second Line :
City : KILGORE
State : TX
Zip : 75662-3518
Country : US
Telephone Number : 903-984-3505
Fax Number : 903-983-4354
Provider Business Practice Location Address
First Line : 1612 S HENDERSON BLVD
Second Line :
City : KILGORE
State : TX
Zip : 75662-3518
Country : US
Telephone Number : 903-984-3505
Fax Number : 903-983-4354
Authorized Official
Title or Position : CEO
Name : MR. ROCK BORDELON
Credential :
Telephone Number : 318-226-8202
Provider Enumeration Date : 03/07/2008
Last Update Date : 12/09/2010

Similar Medicare Providers

1700878014 — LAIRD MEMORIAL HOSPITAL
Practice Location Address:
1612 S HENDERSON BLVD
KILGORE, TX
75662-3518
Practice Phone: 903-983-4308
Practice Fax: 903-983-4306
1285680835 — EULOGIO BONSUKAN MD
Practice Location Address:
1612 S HENDERSON BLVD
KILGORE, TX
75662-3518
Practice Phone: 903-984-3505
Practice Fax:
1336196989 — PAUL A GRANT JR MD
Practice Location Address:
1612 S HENDERSON BLVD
KILGORE, TX
75662-3518
Practice Phone: 903-984-3505
Practice Fax:
1053351254 — ALAN S CLARK MD
Practice Location Address:
1612 S HENDERSON BLVD
KILGORE, TX
75662-3518
Practice Phone: 903-984-3505
Practice Fax:
1407089386 — ALLEGIANCE SPECIALTY HOSPITAL OF KILGORE
Practice Location Address:
1612 S HENDERSON BLVD
KILGORE, TX
75662-3518
Practice Phone: 903-984-3505
Practice Fax:
1093319006 — TRACEY LYNN BRUNER FNP
Practice Location Address:
1600 S HENDERSON BLVD
KILGORE, TX
75662-3518
Practice Phone: 903-475-3474
Practice Fax: 903-367-0300

Directions to “ALLEGIANCE SPECIALTY HOSPITAL OF KILGORE LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.