OrganizationActive
Kilgore Life Center
NPI 1093982290 · Health Service Clinic/Center · Kilgore, TX
Kilgore Life Center is a Health Service Clinic/Center organization in Kilgore, TX (NPI 1093982290).
Provider details
- NPI number
- 1093982290
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Phynet, Inc.
- Organization subpart
- Yes
- Authorized official
- John Ford, President(903) 247-0484
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1711 S Henderson Blvd Ste 300
Kilgore, TX 75662-3563
Phone: (903) 984-2145
Fax: (903) 984-8361
Street-level locationGet directions
Mailing address
4002 Technology Ctr
Longview, TX 75605-2697
Other names (DBA / former)
- Other name
- Phynet, Inc.
Registry dates
- Enumerated
- 2008-05-15
- Last updated
- 2025-09-02
- Certified
- 2025-03-19
Frequently asked questions
- What is Kilgore Life Center's NPI number?
- Kilgore Life Center's National Provider Identifier (NPI) is 1093982290, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kilgore Life Center?
- Kilgore Life Center is classified in the NPPES registry as Health Service Clinic/Center (Ambulatory Health Care Facilities).
- Where is Kilgore Life Center located?
- Kilgore Life Center's practice location on file with NPPES is 1711 S Henderson Blvd Ste 300, Kilgore, TX 75662-3563.
- What is Kilgore Life Center's phone number?
- The practice phone number listed in the NPPES registry for Kilgore Life Center is (903) 984-2145.
- Who is the authorized official for Kilgore Life Center?
- The authorized official listed on Kilgore Life Center's NPPES record is John Ford, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kilgore Life Center's NPI active?
- Yes — Kilgore Life Center's NPI (1093982290) is active in the NPPES registry as of the last update on 2025-09-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.