Provider Demographics
NPI:1760453310
Name:CLHG-LEESVILLE LLC
Entity Type:Organization
Organization Name:CLHG-LEESVILLE LLC
Other - Org Name:BYRD REGIONAL HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:PETER
Authorized Official - Last Name:SAVOY
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:337-278-6964
Mailing Address - Street 1:1020 W. FERTITTA BLVD
Mailing Address - Street 2:
Mailing Address - City:LOOSVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71446-4645
Mailing Address - Country:US
Mailing Address - Phone:318-239-9041
Mailing Address - Fax:318-239-5360
Practice Address - Street 1:1020 W. FERTITTA BLVD
Practice Address - Street 2:
Practice Address - City:LOOSVILLE
Practice Address - State:LA
Practice Address - Zip Code:71446-4645
Practice Address - Country:US
Practice Address - Phone:318-239-9041
Practice Address - Fax:318-239-5360
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-31
Last Update Date:2018-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA190275N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes275N00000XHospital UnitsMedicare Defined Swing Bed Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1745618Medicaid
61085OtherBCBS
LA1745618Medicaid