Provider Demographics
NPI:1235314022
Name:ALLEGIANCE HOSPITAL OF MANY,LLC
Entity Type:Organization
Organization Name:ALLEGIANCE HOSPITAL OF MANY,LLC
Other - Org Name:MANY EXPRESS CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROCK
Authorized Official - Middle Name:
Authorized Official - Last Name:BORDELON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-226-8202
Mailing Address - Street 1:240 HIGHLAND DR
Mailing Address - Street 2:SABINE MEDICAL CENTER
Mailing Address - City:MANY
Mailing Address - State:LA
Mailing Address - Zip Code:71449-3718
Mailing Address - Country:US
Mailing Address - Phone:318-256-1232
Mailing Address - Fax:318-256-1298
Practice Address - Street 1:395 SOUTH CAPITOL STREET
Practice Address - Street 2:SABINE MEDICAL CENTER RURAL HEALTH CLINIC #1
Practice Address - City:MANY
Practice Address - State:LA
Practice Address - Zip Code:71449
Practice Address - Country:US
Practice Address - Phone:318-256-2000
Practice Address - Fax:318-256-8129
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-31
Last Update Date:2022-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA643RHC1261QR1300X
LA643282N00000X
LA539282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1021971Medicaid
LA193474Medicare Oscar/Certification