NPIMap

Organization Active NPI

Allegiance Hospital of Many LLC

  • Hospitalist Physician
  • Many, LA
National Provider Identifier
1154588465
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
ALLEGIANCE HOSPITAL OF MANY LLC
Practice address
240 Highland Dr
Many, LA 71449-3718
Phone
(318) 256-5691
Fax
(318) 256-7543
NPI assigned
May 22, 2008
Organization subpart
Yes
Parent organization
ALLEGIANCE HOSPITAL OF MANY, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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

Authorized official

Name
Rock Bordelon
Title
Ceo
Phone
(318) 226-8202

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X
Hospitalist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208M00000X Primary

Addresses

Primary practice location

240 Highland Dr
Many, LA 71449-3718

Mailing address

504 Texas St
Suite 200
Shreveport, LA 71101-3524
Phone (318) 226-8202

Other identifiers 1

IdentifierTypeStateIssuer
1941964MedicaidLA

Other names 1

  • Sabine Medical Center Pro Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Allegiance Hospital of Many4 organizations share this tax ID, including this one
Part of
Allegiance Hospital of Many

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605744000000",
    "number": "1154588465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 TEXAS ST",
            "address_2": "SUITE 200",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711013524",
            "telephone_number": "318-226-8202",
            "fax_number": "318-226-8205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 HIGHLAND DR",
            "city": "MANY",
            "state": "LA",
            "postal_code": "714493718",
            "telephone_number": "318-256-5691",
            "fax_number": "318-256-7543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEGIANCE HOSPITAL OF MANY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALLEGIANCE HOSPITAL OF MANY, LLC",
        "enumeration_date": "2008-05-22",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A",
        "authorized_official_last_name": "BORDELON",
        "authorized_official_first_name": "ROCK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "318-226-8202"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1941964",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sabine Medical Center Pro",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sabine Medical Center Pro",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Many, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.