Beauregard Urgent Care Center, LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

BEAUREGARD URGENT CARE CENTER, LLC

Practice address

200 W 5TH St
Deridder, LA 70634-4856

Phone

(337) 462-7106

Fax

(337) 462-7479

NPI assigned

Sep 23, 2013

Last updated

Sep 23, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

HOSPITAL SERVICE DISTRICT NO 2 OF PARISH OF BEAUREGARD STATE OF LAAs reported in NPPES

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

Authorized official

Name

Mr. Darrell L Kingham, CPA

Title

Cfo

Phone

(337) 462-7111

Specialties & licenses 1

Addresses

Part of

Hospital Service District No 2 of Parish of Beauregard State of la

Member of 1

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

• Hospital Service District No 2 of Parish of Beauregard State of la

  dba Beauregard Medical and Surgical Center

  • Rural Health Clinic/Center
  • Deridder, LA
  • NPI 1912372897

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379894400000",
    "number": "1346676301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 790",
            "address_2": "200W 5TH STREET",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706340790",
            "telephone_number": "337-462-7106",
            "fax_number": "337-462-7479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W 5TH ST",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706344856",
            "telephone_number": "337-462-7106",
            "fax_number": "337-462-7479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUREGARD URGENT CARE CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOSPITAL SERVICE DISTRICT NO 2 OF PARISH OF BEAUREGARD STATE OF LA",
        "enumeration_date": "2013-09-23",
        "last_updated": "2013-09-23",
        "status": "A",
        "authorized_official_last_name": "KINGHAM",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "337-462-7111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beauregard Pediatric Center, LLC
• Beauregard Physical Therapy Clinic, Inc
• Beauregard Physician Group, LLC
• Beauregard Physician Services LLC
• Beauregard Surgery Center, LLC (David J. Brown, M.D.)
• Beauregard Urology Center, LLC (Chuen K. Kwok, M.D.)
• Beauregard Women's Health Center, LLC
• Kristen M Behar Allen, LICENCED MASSAGE
• Andraws Beibi, CPT
• Jessica Nicole Bell, LPC

• Urgent Care Clinic/Center in Deridder, LA
• Providers in Deridder, LA by specialty
• Urgent Care Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.