# LAIRD MEMORIAL HOSPITAL

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

## Provider details

- **NPI number:** 1700878014
- **Authorized official:** BOB ELLZEY (CEO/PRESIDENT)
- **Authorized official phone:** (903) 983-4352

## Contact information

- **Practice address:** 1612 S HENDERSON BLVD, KILGORE, TX 75662-3518
- **Practice address phone:** (903) 983-4308
- **Practice address fax:** (903) 983-4306
- **Mailing address:** 1612 S HENDERSON BLVD, KILGORE, TX 75662-3518
- **Mailing address phone:** (903) 983-4308
- **Mailing address fax:** (903) 983-4306

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 31 | TX | Yes |

## Other

- **Enumeration date:** 08/22/2005
- **Last updated:** 08/22/2020