Organization Active NPI

Llano County Hospital Authority

  • Rural Health Clinic/Center
  • Marble Falls, TX
National Provider Identifier
1124000740
Registry record updated Aug 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
000476 Issued in TX
Legal business name
LLANO COUNTY HOSPITAL AUTHORITY
Practice address
706 Avenue G
Marble Falls, TX 78654-5866
Phone
(830) 693-8234
Fax
(830) 693-9090
NPI assigned
Nov 18, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Kevin A Leeper
Title
Ceo
Phone
(325) 247-7868

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 000476 TX Primary

Addresses

Primary practice location

706 Avenue G
Marble Falls, TX 78654-5866

Mailing address

200 W Ollie St
Llano, TX 78643-2628
Phone (325) 247-5040

Other identifiers 2

IdentifierTypeStateIssuer
00298KOtherTXBCBS
063574001MedicaidTX

Other names 1

  • Hoerster Clinic Marble Falls Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219708800000",
    "number": "1124000740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W OLLIE ST",
            "city": "LLANO",
            "state": "TX",
            "postal_code": "786432628",
            "telephone_number": "325-247-5040",
            "fax_number": "325-248-2108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 AVENUE G",
            "city": "MARBLE FALLS",
            "state": "TX",
            "postal_code": "786545866",
            "telephone_number": "830-693-8234",
            "fax_number": "830-693-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LLANO COUNTY HOSPITAL AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-18",
        "last_updated": "2008-08-26",
        "status": "A",
        "authorized_official_last_name": "LEEPER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "325-247-7868",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "TX",
            "license": "000476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00298K",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063574001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hoerster Clinic Marble Falls",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marble Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.