Provider Demographics
NPI:1801162250
Name:FOREST PARK MEDICAL CENTER AT FRISCO, LLC
Entity type:Organization
Organization Name:FOREST PARK MEDICAL CENTER AT FRISCO, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BEAUCHAMP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-624-5743
Mailing Address - Street 1:5500 FRISCO SQUARE BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-3301
Mailing Address - Country:US
Mailing Address - Phone:214-618-0500
Mailing Address - Fax:469-330-6767
Practice Address - Street 1:5500 FRISCO SQUARE BOULEVARD
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-3301
Practice Address - Country:US
Practice Address - Phone:214-618-0500
Practice Address - Fax:469-330-6767
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-30
Last Update Date:2012-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital