HOSPITAL SERVICE DISTRICT NO 2 OF PARISH OF BEAUREGARD STATE OF LA (NPI# 1831193499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831193499 |
| Entity Type | Organization |
| Organization Name | HOSPITAL SERVICE DISTRICT NO 2 OF PARISH OF BEAUREGARD STATE OF LA |
| Other Organization Name | BEAUREGARD MEMORIAL HOSPITAL |
| Practice Address |
600 S Pine St Deridder LA 70634-4942 |
| Practice Telephone | 3374627100 |
| Mailing Telephone | 3374627100 |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2018-09-19 |
| Authorized Official Name | MR. DARRELL L. KINGHAM (VP OF FINANCE) |
| Authorized Official Telephone | 3374627100 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
155 | LA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | CHAMPUS UB92 PROVIDER NO. | 720491106001 | 01 |
| LA | 1720038 | 05 | |
| LA | BLUE CROSS PROVIDER NO. | 60794 | 01 |
| LA | CHAMPUS SNF PROVIDER NO. | 720491106002 | 01 |
| LA | CHAMPUS 1500 PROVIDER NO. | 720491106007 | 01 |
| Other Name | Type Code |
|---|---|
| Beauregard Memorial Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619342227 | Hospital Service District No 2 of Parish of Beauregard State of La | Clinic/Center | 206 W 5th St, Deridder, LA 70634-4856 | 2015-12-08 |
| 1801261417 | Hospital Service District No 2 of Parish of Beauregard State of La | Clinic/Center | 495 W 8th St, Deridder, LA 70634-5507 | 2015-12-08 |
| 1578938452 | Hospital Service District No 2 of Parish of Beauregard State of La | Clinic/Center | 501 S Pine St, Deridder, LA 70634-4939 | 2015-12-03 |
| 1912372897 | Hospital Service District No 2 of Parish of Beauregard State of La | Clinic/Center | 301 S Washington St, Suite B, Deridder, LA 70634-4861 | 2015-12-03 |
| 1891750907 | Hospital Service District No 2 of Parish of Beauregard State of La | Medicare Defined Swing Bed Unit | 600 S Pine St, Deridder, LA 70634-4942 | 2006-04-20 |
| Street Address |
600 S PINE ST |
| City | DERIDDER |
| State | LA |
| Zip Code | 70634-4942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780203000 | James Christian Armetta | Speech-Language Pathologist | 600 S Pine St, Deridder, LA 70634-4942 | 2020-04-16 |
| 1164985495 | West Louisiana Health Services Inc | Physical Therapist | 600 S Pine St, Deridder, LA 70634-4942 | 2019-04-12 |
| 1083111678 | Anna Reuber | Nurse Practitioner | 600 S Pine St, Deridder, LA 70634-4942 | 2018-04-10 |
| 1972019529 | Alexis J Amato | Specialist/Technologist | 600 S Pine St, Deridder, LA 70634-4942 | 2017-12-19 |
| 1316308927 | Kallie Hess | Nurse Practitioner | 600 S Pine St, Deridder, LA 70634-4942 | 2016-03-09 |
| 1972906758 | Concord Medical Group, Pllc | Hospitalist | 600 S Pine St, Deridder, LA 70634-4942 | 2014-10-07 |
| 1710226790 | Beauregard Physician Services LLC | Physician Assistant | 600 S Pine St, Deridder, LA 70634-4942 | 2013-02-11 |
| 1295082568 | Amanda Leigh Harrell | Registered Nurse | 600 S Pine St, Deridder, LA 70634-4942 | 2012-08-06 |
| 1497034185 | Deborah Michelle Thompson | Nurse Practitioner | 600 S Pine St, Deridder, LA 70634-4942 | 2011-08-11 |
| 1992005532 | Beauregard Pediatric Center, LLC | Pediatrics | 600 S Pine St, Deridder, LA 70634-4942 | 2010-10-29 |
| Find all providers in the same location | ||||
| 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 | 282NR1301X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Rural |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265632699 | Beauregard Memorial Hospital Emergency Room Physicians | General Acute Care Hospital | 600 S Pine St, Deridder, LA 70634-4942 | 2007-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003244781 | Byrd Regional Hospital | General Acute Care Hospital | 1020 W. Fertitta Blvd., Leesville, LA 71446 | 2013-10-16 |
| 1043218365 | Franklin Foundation Hospital | General Acute Care Hospital | 1097 Northwest Blvd, Franklin, LA 70538-3407 | 2005-07-11 |
| 1588158497 | Caldwell Memorial Hospital Inc | General Acute Care Hospital | 411 Main St, Columbia, LA 71418-6704 | 2018-06-15 |
| 1548648025 | Lady of The Sea General Hospital | General Acute Care Hospital | 200 W 134th Pl, Cut Off, LA 70345-4143 | 2015-05-15 |
| 1962750968 | Schumacher Management Services, Inc | General Acute Care Hospital | 1125 Marguerite St, Morgan City, LA 70380-1855 | 2012-08-22 |
| 1982996468 | Frontier Hospitals, Inc. | General Acute Care Hospital | 5360 W Creole Hwy, Cameron, LA 70631-5127 | 2011-05-03 |
| 1083903744 | Hospital Service District of St. Bernard Parish | General Acute Care Hospital | 8000 W Judge Perez Dr, Chalmette, LA 70043-1668 | 2011-04-04 |
| 1346554219 | Hospital Service District No. 1 | General Acute Care Hospital | 17199 Spring Ranch Rd, Livingston, LA 70754-2900 | 2010-08-03 |
| 1659601565 | Washington St. Tammany Regional Medical Center | General Acute Care Hospital | 433 Plaza St, Bogalusa, LA 70427-3729 | 2009-12-29 |
| 1568792471 | Washington St. Tammany Regional Medical Center | General Acute Care Hospital | 433 Plaza St, Bogalusa, LA 70427-3729 | 2009-12-29 |
| Find all providers with the same taxonomy | ||||
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| 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.