Healthcare Provider Details

I. General information

NPI: 1710272307
Provider Name (Legal Business Name): FRONTIER HOSPITALS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2011
Last Update Date: 06/13/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5360 W CREOLE HWY
CAMERON LA
70631-5127
US

IV. Provider business mailing address

5360 W CREOLE HWY
CAMERON LA
70631-5127
US

V. Phone/Fax

Practice location:
  • Phone: 337-542-4111
  • Fax:
Mailing address:
  • Phone: 337-542-4111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number534RHC-1
License Number StateLA

VIII. Authorized Official

Name: DAVID L. BYRNS
Title or Position: CEO
Credential:
Phone: 954-336-4640