Organization Active NPI

Llano County Hospital Authority

Doing business as Llano Memorial Hospital Emergency Room Svcs

  • Emergency Medicine Physician
  • Llano, TX
National Provider Identifier
1912989807
Registry record updated Aug 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
LLANO COUNTY HOSPITAL AUTHORITY
Doing business as
Llano Memorial Hospital Emergency Room Svcs
Practice address
200 W Ollie St
Llano, TX 78643-2628
Phone
(325) 247-5040
Fax
(325) 248-2801
NPI assigned
Nov 16, 2005
Last updated
Aug 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2008

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)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X NU Primary

Addresses

Primary practice location

200 W Ollie St
Llano, TX 78643-2628

Mailing address

200 W Ollie St
Llano, TX 78643-2628
Phone (325) 247-5040

Other identifiers 3

IdentifierTypeStateIssuer
00297KOtherTXBCBS
080322302MedicaidTX
00298KOtherTXBCBS

Other names 1

  • Llano Memorial Hospital Emergency Room Svcs Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219363200000",
    "number": "1912989807",
    "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": "325-248-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W OLLIE ST",
            "city": "LLANO",
            "state": "TX",
            "postal_code": "786432628",
            "telephone_number": "325-247-5040",
            "fax_number": "325-248-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LLANO COUNTY HOSPITAL AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-16",
        "last_updated": "2008-08-22",
        "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": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00297K",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080322302",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00298K",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Llano Memorial Hospital Emergency Room Svcs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Llano, TX

Sources for this page

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