Laird Memorial Hospital

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

31 Issued in TX

Legal business name

LAIRD MEMORIAL HOSPITAL

Practice address

1612 S Henderson Blvd
Kilgore, TX 75662-3518

Phone

(903) 983-4308

Fax

(903) 983-4306

NPI assigned

Aug 22, 2005

Organization subpart

No

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

Authorized official

Name

Bob Ellzey

Title

Ceo/President

Phone

(903) 983-4352

Specialties & licenses 1

Addresses

Other identifiers 3

Tax ID family

Allegiance Specialty Hospital of Kilgore2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Allegiance Specialty Hospital of Kilgore

  • Psychiatric Hospital
  • Kilgore, TX
  • NPI 1407089386
  NPD tax ID

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700878014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 S HENDERSON BLVD",
            "city": "KILGORE",
            "state": "TX",
            "postal_code": "756623518",
            "telephone_number": "903-983-4308",
            "fax_number": "903-983-4306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 S HENDERSON BLVD",
            "city": "KILGORE",
            "state": "TX",
            "postal_code": "756623518",
            "telephone_number": "903-983-4308",
            "fax_number": "903-983-4306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAIRD MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELLZEY",
        "authorized_official_first_name": "BOB",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "903-983-4352"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TX",
            "license": "31",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUE SHIELD",
            "identifier": "HH0109",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "5290733",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAID",
            "identifier": "85352",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Austin Knox, LPC ASSOCIATE
• Angela Solis Krenek, RPH
• Cynthia Kulak, P.T.
• Kulkarni Dental PC
• Colleen S. Lagrone, MPT
• Carol Ann Lambert, OTR
• Cozetta Lamore, LCSW
• Casey Duplechin Landreneau
• Donald Duane Landry, DDS
• Clark Wynn Langley, MD

• General Acute Care Hospital in Kilgore, TX
• Providers in Kilgore, TX by specialty
• General Acute Care Hospital in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.