Provider Demographics
NPI:1982164968
Name:ALLEGIANCE HEALTH MANAGEMENT
Entity type:Organization
Organization Name:ALLEGIANCE HEALTH MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REVENUE ANALYST
Authorized Official - Prefix:
Authorized Official - First Name:TRENAE
Authorized Official - Middle Name:
Authorized Official - Last Name:AUSTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-629-3272
Mailing Address - Street 1:504 TEXAS ST STE 200
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71101-3526
Mailing Address - Country:US
Mailing Address - Phone:318-629-3272
Mailing Address - Fax:318-226-8205
Practice Address - Street 1:504 TEXAS ST STE 200
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71101-3526
Practice Address - Country:US
Practice Address - Phone:318-629-3272
Practice Address - Fax:318-226-8205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-25
Last Update Date:2019-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No282E00000XHospitalsLong Term Care Hospital
No282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR1912017815OtherALLEGIANCE HOSPITAL OF NORTH LITTLE ROCK
MS1154560290OtherALLEGIANCE SPECIALTY HOSPITAL OF GREENVILLE, LLC
LA1285835561OtherBIENVILLE MEDICAL CENTER
AR1861451114OtherALLEGIANCE HOSPITAL OF NORTH LITTLE ROCK