Organization
BEAUREGARD MEDICAL SUPPLY
Active
Other names
Beauregard Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY GONZALEZ COMPLIANCE OFFICER (COMPLIANCE OFFICE/MGR)
(337) 463-8850
Entity
Organization
Contact information
Practice address
1512 N. PINE STREET, STE B, DERIDDER, LA 70634-2418
(337) 463-8850
(337) 463-8850
Mailing address
1512 N. PINE STREET, STE B, DERIDDER, LA 70634-2418
(337) 463-8850
(337) 463-8850
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2189867
—
LA
Enumeration date
01/17/2019
Last updated
02/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us