NPIMap

Organization Active NPI

Frontier Hospitals, Inc.

Doing business as Lake Whitney Medical Center

  • General Acute Care Hospital
  • Whitney, TX
National Provider Identifier
1003988114
Registry record updated Aug 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
008210 Issued in TX
Legal business name
FRONTIER HOSPITALS, INC.
Doing business as
Lake Whitney Medical Center
Practice address
200 N San Jacinto St
Whitney, TX 76692-2388
Phone
(954) 415-3599
Fax
(800) 497-3983
NPI assigned
Nov 14, 2006
Last updated
Aug 5, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. James M Stanger Jr., RN
Title
VP/Coo
Phone
(954) 415-3599

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 008210 TX Primary
Skilled Nursing Facility 314000000X 008210 TX
Land Ambulance 3416L0300X 008210 TX
Family Medicine Physician 207Q00000X M1440 TX

Addresses

Primary practice location

200 N San Jacinto St
Whitney, TX 76692-2388

Mailing address

200 N San Jacinto St
Whitney, TX 76692-2388
Phone (954) 415-3599

Other identifiers 3

IdentifierTypeStateIssuer
181853601MedicaidTX
094136102MedicaidTX
000764301MedicaidTX

Other names 1

  • Lake Whitney Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003988114. Details of each certification follow.

Hospital certification: CCN 450270

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
LAKE WHITNEY MEDICAL CENTER
Certification status
Terminated Voluntary: merger or closure, Mar 25, 2014
Provider type (POS)
Hospital – Short-term
Participating since
Apr 1, 1968
Last certification
Jan 8, 2010
Beds
49
Ownership / control type
Private (for profit)
Facility address
200 N San Jacinto Street
Whitney, TX 76692

National Provider Directory

National Provider Directory
Tax ID family
Eshna Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375660800000",
    "number": "1003988114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N SAN JACINTO ST",
            "city": "WHITNEY",
            "state": "TX",
            "postal_code": "766922388",
            "telephone_number": "954-415-3599",
            "fax_number": "800-497-3983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N SAN JACINTO ST",
            "city": "WHITNEY",
            "state": "TX",
            "postal_code": "766922388",
            "telephone_number": "954-415-3599",
            "fax_number": "800-497-3983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTIER HOSPITALS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2013-08-05",
        "status": "A",
        "authorized_official_last_name": "STANGER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VP/COO",
        "authorized_official_telephone_number": "954-415-3599",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TX",
            "license": "008210",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "008210",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "008210",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M1440",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181853601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "094136102",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000764301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Whitney Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Whitney, TX

Sources for this page

Verify at the official NPI Registry.