Llano County Hospital Authority

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

000476 Issued in TX

Legal business name

LLANO COUNTY HOSPITAL AUTHORITY

Doing business as

Hoerster Lake Area Health Center

Practice address

100 Pecan Crossing
Horseshoe Bay, TX 78657-4733

Phone

(830) 598-4405

Fax

(830) 598-5172

NPI assigned

Nov 15, 2005

Organization subpart

No

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

Addresses

Other identifiers 2

Other names 1

• Hoerster Lake Area Health Center Doing business as

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225238400000",
    "number": "1982686184",
    "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": "325-248-2108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PECAN CROSSING",
            "city": "HORSESHOE BAY",
            "state": "TX",
            "postal_code": "786574733",
            "telephone_number": "830-598-4405",
            "fax_number": "830-598-5172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LLANO COUNTY HOSPITAL AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-15",
        "last_updated": "2008-10-29",
        "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": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "TX",
            "license": "000476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162715001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00298K",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hoerster Lake Area Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• HSB Pharmacy Inc
• Chester Lynn Hurst, DDS, MS
• Hunter Chevelle Johnson, APP
• Karis Hospice
• Lake Country Dental
• LLV1 LP
• LLV1 LP
• Larry G. Manning, M.D.
• Teresa J Miller, APN, CNS
• Vanessa Ann Nixon, RN

• Rural Health Clinic/Center in Horseshoe Bay, TX
• Providers in Horseshoe Bay, TX by specialty
• Rural Health Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.