Basic Information
| Provider Information | |||||||||
| NPI: | 1710272307 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | FRONTIER HOSPITALS, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5360 W CREOLE HWY | ||||||||
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| City: | CAMERON | ||||||||
| State: | LA | ||||||||
| PostalCode: | 706315127 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3375424111 | ||||||||
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| Practice Location | |||||||||
| Address1: | 5360 W CREOLE HWY | ||||||||
| Address2: | |||||||||
| City: | CAMERON | ||||||||
| State: | LA | ||||||||
| PostalCode: | 706315127 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3375424111 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/13/2011 | ||||||||
| LastUpdateDate: | 06/13/2011 | ||||||||
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| AuthorizedOfficialLastName: | BYRNS | ||||||||
| AuthorizedOfficialFirstName: | DAVID | ||||||||
| AuthorizedOfficialMiddleName: | L. | ||||||||
| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 9543364640 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QR1300X | 534RHC-1 | LA | Y | Ambulatory Health Care Facilities | Clinic/Center | Rural Health |
No ID Information.