Organization
SOUTH BEAUREGARD HEALTH CENTER, L.L.C.
Active
Parent organization
HOSPITAL SERVICE DISTRICT NO 2 OF PARISH OF BEAUREGARD STATE OF LA
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOSPITAL SERVICE DISTRICT NO 2 OF PARISH OF BEAUREGARD STATE OF LA
Authorized official
MR. DARRELL L KINGHAM CPA (CFO)
(337) 462-7111
Entity
Organization
Contact information
Practice address
12186 HIGHWAY 171, LONGVILLE, LA 70652-4625
(337) 462-7106
(337) 462-7479
Mailing address
PO BOX 490, DERIDDER, LA 70634-0490
(337) 462-7106
(337) 462-7479
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/12/2013
Last updated
06/12/2013
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