Provider Demographics
NPI:1215812888
Name:SAGE SPECIALTY HOSPITAL OF WICHITA FALLS LLC
Entity type:Organization
Organization Name:SAGE SPECIALTY HOSPITAL OF WICHITA FALLS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/COO
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMBIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-975-1464
Mailing Address - Street 1:10615 JEFFERSON HWY
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809-7230
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1103 GRACE ST
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76301-4414
Practice Address - Country:US
Practice Address - Phone:940-720-6633
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282E00000XHospitalsLong Term Care Hospital