Provider Demographics
NPI:1043078199
Name:ALLEGIANCE HOSPITAL OF MANY, LLC
Entity Type:Organization
Organization Name:ALLEGIANCE HOSPITAL OF MANY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DALE
Authorized Official - Middle Name:LEN
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-256-5691
Mailing Address - Street 1:9031 TEXAS ST. HWY 6
Mailing Address - Street 2:
Mailing Address - City:ROBELINE
Mailing Address - State:LA
Mailing Address - Zip Code:71469
Mailing Address - Country:US
Mailing Address - Phone:318-431-0001
Mailing Address - Fax:
Practice Address - Street 1:9031 TEXAS ST. HWY 6
Practice Address - Street 2:
Practice Address - City:ROBELINE
Practice Address - State:LA
Practice Address - Zip Code:71469
Practice Address - Country:US
Practice Address - Phone:318-431-0001
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-12
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty