FRESENIUS MEDICAL CARE BEAUREGARD PARISH, LLC (NPI# 1497389241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497389241 |
| Entity Type | Organization |
| Organization Name | FRESENIUS MEDICAL CARE BEAUREGARD PARISH, LLC |
| Other Organization Name | FRESENIUS MEDICAL CARE BEAUREGARD PARISH DIALYSIS |
| Practice Address |
602 W 1st St Deridder LA 70634-3806 |
| Practice Telephone | 3372266199 |
| Practice Fax Number | 3372266200 |
| Mailing Telephone | 3372266199 |
| Mailing Fax Number | 3372266200 |
| Enumeration Date | 2020-03-02 |
| Last Update Date | 2020-04-13 |
| Authorized Official Name | JAMES DIVITO (VICE PRESIDENT) |
| Authorized Official Telephone | 7816999000 |
| Is Organization Subpart | Y |
| Parent Organization Name | FRESENIUS MEDICAL CARE HOLDINGS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Beauregard Parish Dialysis | Doing Business As Name - Organization |
| Fresenius Medical Care Beauregard Parish Dialysis | Doing Business As Name - Organization |
| Street Address |
602 W 1ST ST |
| City | DERIDDER |
| State | LA |
| Zip Code | 70634-3806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861016164 | Just Health | Clinic/Center | 411 Bolivar Bishop Dr, Deridder, LA 70634 | 2020-06-02 |
| 1477193183 | Stacey Marie Legros | Occupational Therapy Assistant | 19503 Highway 171, Deridder, LA 70634 | 2020-01-10 |
| 1487296588 | Imperial Health LLP | Internal Medicine | 200 W 5th Street, Deridder, LA 70634 | 2019-10-10 |
| 1902367568 | Residential Therapy Solutions, LLC | Physical Therapist | 19503 Hwy 171, Deridder, LA 70634 | 2019-03-27 |
| 1023583044 | Calcasieu Urgent Care LLC | Clinic/Center | 1017 N Pine Street, Deridder, LA 70634 | 2018-10-05 |
| 1235638222 | Melanie Welch, Fnp, LLC | Nurse Practitioner | 1420 Blankenship Dr., Deridder, LA 70634 | 2018-02-06 |
| 1265976617 | Jennifer Dianne Midgett | Nurse Practitioner | 2581 Highway 190 W, Deridder, LA 70634 | 2016-12-05 |
| 1821419334 | Beauregard Hematolog & Oncology | Internal Medicine | 301 S. Washington St., Ste B, Deridder, LA 70634 | 2013-12-31 |
| 1982835013 | Kathern Sue Hollifield | Physical Therapist | 309 S. Washington St., Beauregard Physical Therapy Clinic Inc, Deridder, LA 70634 | 2009-08-06 |
| 1750541777 | Tracy Winkley | Physical Therapist | 1744 Ball Rd, Deridder, LA 70634 | 2008-06-12 |
| Find all providers in zip 70634 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144289281 | Dva Renal Healthcare Inc | Clinic/Center | 239 E 1st St, Deridder, LA 70634-4105 | 2006-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568079085 | Fresenius Medical Care Broussard, LLC | Clinic/Center | 138 Youngsville Highway, Lafayette, LA 70508-4536 | 2020-09-29 |
| 1144833872 | Fresenius Medical Care Sulphur, LLC | Clinic/Center | 330 Chavanne Street, Lake Charles, LA 70601 | 2020-08-24 |
| 1700404381 | Fresenius Medical Care Ouachita Home, LLC | Clinic/Center | 401 Thomas Rd Ste D, West Monroe, LA 71292-7902 | 2020-07-09 |
| 1255997110 | Dialysis Clinic Inc | Clinic/Center | 222 Saint Nazaire Rd, Broussard, LA 70518-4205 | 2019-05-16 |
| 1710457544 | Bio-medical Applications of Louisiana, LLC | Clinic/Center | 5820 Masonic Dr, Alexandria, LA 71301-2634 | 2018-12-05 |
| 1215407101 | Bio-medical Applications of Louisiana LLC | Clinic/Center | 634 Tunica Dr W, Marksville, LA 71351-2629 | 2018-12-04 |
| 1790263697 | Bio-medical Applications of Louisiana, LLC | Clinic/Center | 6101 Elysian Fields Ave, New Orleans, LA 70122-4209 | 2018-08-02 |
| 1881192540 | Isd Renal Inc | Clinic/Center | 3999 Highway 190 East Service Rd Ste A, Covington, LA 70433-4914 | 2018-01-29 |
| 1629583281 | Bio-medical Applications Louisiana, LLC | Clinic/Center | 2500 Louisiana Ave, New Orleans, LA 70115-6036 | 2017-12-05 |
| 1396255311 | Dialysis Clinic Inc | Clinic/Center | 2020 Bert Kouns Industrial Loop, Shreveport, LA 71118-3315 | 2017-10-04 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on FRESENIUS MEDICAL CARE BEAUREGARD PARISH, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.