# BEAUREGARD MEMORIAL HOSPITAL EMERGENCY ROOM PHYSICIANS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265632699
- **Authorized official:** DENITA C MOSES (BUSINESS OFFICE DIRECTOR)
- **Authorized official phone:** (337) 462-7181

## Contact information

- **Practice address:** 600 S PINE ST, DERIDDER, LA 70634-4942
- **Practice address phone:** (337) 462-7100
- **Practice address fax:** (337) 462-7435
- **Mailing address:** PO BOX 730, DERIDDER, LA 70634-0730
- **Mailing address phone:** (337) 462-7100
- **Mailing address fax:** (337) 462-7435

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NR1301X | Rural Acute Care Hospital | — | LA | Yes |

## Other

- **Enumeration date:** 07/24/2007
- **Last updated:** 07/24/2007