Organization
BEAUREGARD FAMILY MEDICAL CENTER, LLC
Active
Parent organization
WEST LOUISIANA HEALTH SERVICES, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
WEST LOUISIANA HEALTH SERVICES, INC
Authorized official
MR. DARRELL L KINGHAM CPA (CFO)
(337) 462-7409
Entity
Organization
Contact information
Practice address
501 S PINE ST, DERIDDER, LA 70634-4939
(337) 462-7409
(337) 462-7479
Mailing address
PO BOX 730, DERIDDER, LA 70634-0730
(337) 462-7409
(337) 462-7479
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
02/05/2013
Last updated
11/25/2020
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