NPIMap

Organization Active NPI

West Louisiana Health Services Inc

  • Obstetrics & Gynecology Physician
  • Deridder, LA
National Provider Identifier
1164985495
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
WEST LOUISIANA HEALTH SERVICES INC
Practice address
600 S Pine St
Deridder, LA 70634-4942
Phone
(337) 462-7409
Fax
(337) 462-7479
NPI assigned
Apr 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Jarred Veillon
Title
Cfo
Phone
(337) 462-7409

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
General Acute Care Hospital 282N00000X

Addresses

Primary practice location

600 S Pine St
Deridder, LA 70634-4942

Mailing address

PO Box 730
Deridder, LA 70634-0730
Phone (337) 462-7409

Other names 1

  • Beauregard Health System Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110216000789 LA Part B Supplier - Clinic/Group Practice 5799680245 Receives reassigned benefits from 36 practitioners
Practice locations: Leesville, LA; Deridder, LA

National Provider Directory

National Provider Directory
Tax ID family
Beauregard Memorial Hospital Medical Staff Services6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 9

Organizations listed as members of this organization in the National Provider Directory.

Locations

714 High School Dr
Deridder, LA 70634
Phone (337) 463-4272

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Beauregard Memorial HospitalDeridder, LA, CCN 190050 Hospital Operational/Managerial Control (100%) Sep 25, 1978
Beauregard Memorial HospitalDeridder, LA, CCN 19U050 Hospital Operational/Managerial Control (100%) Sep 25, 1978

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 36

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 36

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1555027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750723200000",
    "number": "1164985495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 730",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706340730",
            "telephone_number": "337-462-7409",
            "fax_number": "337-462-7479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S PINE ST",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706344942",
            "telephone_number": "337-462-7409",
            "fax_number": "337-462-7479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST LOUISIANA HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-12",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A",
        "authorized_official_last_name": "VEILLON",
        "authorized_official_first_name": "JARRED",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "337-462-7409",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beauregard Health System",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Beauregard Health System",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Deridder, LA

Sources for this page

Verify at the official NPI Registry.