NPIMap

Organization Active NPI

Calcasieu Cameron Hospital Service District

Doing business as ENT Associates of West Calcasieu Cameron Hospital

  • Otolaryngology/Facial Plastic Surgery Physician
  • Sulphur, LA
National Provider Identifier
1366700387
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
Legal business name
CALCASIEU CAMERON HOSPITAL SERVICE DISTRICT
Doing business as
ENT Associates of West Calcasieu Cameron Hospital
Practice address
1629 Beglis Pkwy
Sulphur, LA 70663-5906
Phone
(337) 439-2041
Fax
(337) 439-2014
NPI assigned
Apr 27, 2012
Last updated
Sep 26, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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

Authorized official

Name
Janie Fruge
Title
Ceo
Phone
(337) 527-4241

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X NU Primary

Addresses

Primary practice location

1629 Beglis Pkwy
Sulphur, LA 70663-5906

Mailing address

701 Cypress St
Sulphur, LA 70663-5053
Phone (337) 527-7034

Other names 1

  • ENT Associates of West Calcasieu Cameron Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20071107000133 LA Part A Provider - Hospital 1052221447 6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sulphur, LA; Westlake, LA
O20081104000079 LA Part B Supplier - Clinic/Group Practice 1052221447 Receives reassigned benefits from 60 practitioners
11 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sulphur, LA; Vinton, LA; Hackberry, LA; Cameron, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1366700387. Details of each certification follow.

Hospital certification: CCN 190013

Legal name
CALCASIEU CAMERON HOSPITAL SERVICE DISTRICT
Doing business as
WEST CALCASIEU CAMERON HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Aug 2, 2025
Beds
110
Ownership / control type
Hospital district or authority
Organization structure
OtherNon-profit
Incorporated
Jun 8, 1995 in LA
Enrollment address
701 Cypress St
Sulphur, LA 70663-5053
Other Hospital Practice Location
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 11

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
West Calcasieu Cameron HospitalCCN 190013 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
West Calca Sieu Cameron15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Calcasieu Cameron Hospital Service District Organization, Sulphur, LA Operational/Managerial Control Mar 1, 2013 100%
Robert Letard Individual Corporate DirectorBoard Member Feb 22, 2005 20%
Janie Fruge Individual Corporate OfficerChief Executive Officer Jul 1, 2013 100%
W-2 Managing EmployeeCeo Jul 1, 2013 100%
Operational/Managerial ControlCheif Executive Officer Jul 1, 2013 100%
Jobie James Individual Corporate OfficerCheif Financial Officer May 5, 2014 100%
W-2 Managing EmployeeCfo May 5, 2014 100%
Operational/Managerial ControlChief Financial Officer May 5, 2014 100%
Mark McMurry Individual Corporate DirectorBoard Member Dec 15, 2022 20%
Robert Davidson Individual Corporate DirectorBoard Member Jan 25, 2000 20%
Cecil Sanner Individual Corporate DirectorBoard Member Aug 1, 2024 20%
Ellis Hassien Individual Corporate DirectorBoard Member Apr 1, 2025 20%

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 4

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.

Affiliated clinicians 275

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 275

NPI Registry JSON

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569456000000",
    "number": "1366700387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 CYPRESS ST",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706635053",
            "telephone_number": "337-527-7034",
            "fax_number": "337-527-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 BEGLIS PKWY",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706635906",
            "telephone_number": "337-439-2041",
            "fax_number": "337-439-2014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALCASIEU CAMERON HOSPITAL SERVICE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-27",
        "last_updated": "2019-09-26",
        "status": "A",
        "authorized_official_last_name": "FRUGE",
        "authorized_official_first_name": "JANIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "337-527-4241"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ENT Associates of West Calcasieu Cameron Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ENT Associates of West Calcasieu Cameron Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sulphur, LA

Sources for this page

Verify at the official NPI Registry.