# ALLEGIANCE SPECIALTY HOSPITAL OF KILGORE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497925267
- **Authorized official:** MR. ROCK BORDELON (CEO)
- **Authorized official phone:** (318) 226-8202

## Contact information

- **Practice address:** 1612 S HENDERSON BLVD, KILGORE, TX 75662-3518
- **Practice address phone:** (903) 984-3505
- **Practice address fax:** (903) 983-4354
- **Mailing address:** 1612 S HENDERSON BLVD, KILGORE, TX 75662-3518
- **Mailing address phone:** (903) 984-3505
- **Mailing address fax:** (903) 983-4354

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 273R00000X | Psychiatric Hospital Unit | — | NULL | — |
| 282E00000X | Long Term Care Hospital | — | NULL | — |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 03/07/2008
- **Last updated:** 12/09/2010