NPIMap

Organization Active NPI

Lakeside Hospital at Bastrop, LTD

  • General Acute Care Hospital
  • Bastrop, TX
National Provider Identifier
1851323240
Registry record updated Dec 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
008314 Issued in TX
Legal business name
LAKESIDE HOSPITAL AT BASTROP, LTD
Practice address
3201 Highway 71 E
Bastrop, TX 78602-5126
Phone
(512) 321-8200
Fax
(512) 321-8701
NPI assigned
Jul 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2008

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

Authorized official

Name
Peggy Borgfeld
Title
Director of Accounting
Phone
(512) 321-8200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 008314 TX Primary

Addresses

Primary practice location

3201 Highway 71 E
Bastrop, TX 78602-5126

Mailing address

3201 Highway 71 E
Bastrop, TX 78602-5126
Phone (512) 321-8200

Other identifiers 3

IdentifierTypeStateIssuer
HH1113OtherTEXAS BLUECROSS
181544101MedicaidTX
PENDINGMedicaidTX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229385600000",
    "number": "1851323240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 HIGHWAY 71 E",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786025126",
            "telephone_number": "512-321-8200",
            "fax_number": "512-321-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 HIGHWAY 71 E",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786025126",
            "telephone_number": "512-321-8200",
            "fax_number": "512-321-8701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE HOSPITAL AT BASTROP, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2008-12-16",
        "status": "A",
        "authorized_official_last_name": "BORGFELD",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_title_or_position": "DIRECTOR OF ACCOUNTING",
        "authorized_official_telephone_number": "512-321-8200"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TX",
            "license": "008314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BLUECROSS",
            "identifier": "HH1113",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181544101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bastrop, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.