# BEAUREGARD URGENT CARE CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HOSPITAL SERVICE DISTRICT NO 2 OF PARISH OF BEAUREGARD STATE OF LA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1346676301
- **Legal business name:** HOSPITAL SERVICE DISTRICT NO 2 OF PARISH OF BEAUREGARD STATE OF LA
- **Authorized official:** MR. DARRELL L KINGHAM CPA (CFO)
- **Authorized official phone:** (337) 462-7111

## Contact information

- **Practice address:** 200 W 5TH ST, DERIDDER, LA 70634-4856
- **Practice address phone:** (337) 462-7106
- **Practice address fax:** (337) 462-7479
- **Mailing address:** PO BOX 790, 200W 5TH STREET, DERIDDER, LA 70634-0790
- **Mailing address phone:** (337) 462-7106
- **Mailing address fax:** (337) 462-7479

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/23/2013
- **Last updated:** 09/23/2013