Provider Demographics
NPI:1710272307
Name:FRONTIER HOSPITALS, INC.
Entity Type:Organization
Organization Name:FRONTIER HOSPITALS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:L
Authorized Official - Last Name:BYRNS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-336-4640
Mailing Address - Street 1:5360 W CREOLE HWY
Mailing Address - Street 2:
Mailing Address - City:CAMERON
Mailing Address - State:LA
Mailing Address - Zip Code:70631-5127
Mailing Address - Country:US
Mailing Address - Phone:337-542-4111
Mailing Address - Fax:
Practice Address - Street 1:5360 W CREOLE HWY
Practice Address - Street 2:
Practice Address - City:CAMERON
Practice Address - State:LA
Practice Address - Zip Code:70631-5127
Practice Address - Country:US
Practice Address - Phone:337-542-4111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-13
Last Update Date:2011-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA534RHC-1261QR1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health