NPIMap

Organization Active NPI

Bastrop Blackhawk LLC

  • General Acute Care Hospital
  • Bastrop, TX
National Provider Identifier
1881823151
Registry record updated Nov 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
008314 Issued in TX
Legal business name
BASTROP BLACKHAWK LLC
Practice address
3201 Highway 71 E
Bastrop, TX 78602-5126
Phone
(512) 321-8200
NPI assigned
Jul 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2009

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

Authorized official

Name
Todd F Biederman
Title
Director/Officer
Phone
(512) 681-3440

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X
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 names 1

  • Lakeside Hospital at Bastrop Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bastrop Blackhawk LLC2 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.

NPI Registry JSON

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

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258934400000",
    "number": "1881823151",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASTROP BLACKHAWK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-08",
        "last_updated": "2009-11-23",
        "status": "A",
        "authorized_official_last_name": "BIEDERMAN",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DIRECTOR/OFFICER",
        "authorized_official_telephone_number": "512-681-3440"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TX",
            "license": "008314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeside Hospital at Bastrop",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 23, 2009; 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.