Active NPI
Llano County Hospital Authority
- Rural Health Clinic/Center
- Marble Falls, TX
National Provider Identifier
1124000740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- License
- 000476
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00298K | Other | TX | BCBS |
| 063574001 | Medicaid | TX |
Other names 1
- Hoerster Clinic Marble Falls
National Provider Directory
National Provider DirectoryNPI 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.