Healthcare Provider Details

I. General information

NPI: 1366700387
Provider Name (Legal Business Name): CALCASIEU CAMERON HOSPITAL SERVICE DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2012
Last Update Date: 09/26/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1629 BEGLIS PKWY
SULPHUR LA
70663-5906
US

IV. Provider business mailing address

701 CYPRESS ST
SULPHUR LA
70663-5053
US

V. Phone/Fax

Practice location:
  • Phone: 337-439-2041
  • Fax: 337-439-2014
Mailing address:
  • Phone: 337-527-7034
  • Fax: 337-527-7337

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YX0905X
TaxonomyOtolaryngology/Facial Plastic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: JANIE FRUGE
Title or Position: CEO
Credential:
Phone: 337-527-4241