Beauregard Medical Supply LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

40679808K Issued in LA

Legal business name

BEAUREGARD MEDICAL SUPPLY LLC

Practice address

1004 N Pine St
B
Deridder, LA 70634-2818

Phone

(337) 842-6142

NPI assigned

Jan 2, 2012

Last updated

Jan 2, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Loftin

Title

President

Phone

(337) 842-6142

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1325462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325462400000",
    "number": "1679843098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 N PINE ST",
            "address_2": "B",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706342818",
            "telephone_number": "337-842-6142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 N PINE ST",
            "address_2": "B",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706342818",
            "telephone_number": "337-842-6142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUREGARD MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-02",
        "last_updated": "2012-01-02",
        "status": "A",
        "authorized_official_last_name": "LOFTIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-842-6142"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "LA",
            "license": "40679808K",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Beauregard Medical and Surgical Center, LLC
• Beauregard Medical Solutions LLC (Beauregard Medical Supply)
• Beauregard Medical Supply
• Beauregard Memorial Home Health
• Beauregard Memorial Hospital Emergency Room Physicians
• Beauregard Memorial Hospital Homecare, LLC (Beauregard Home Health)
• Beauregard Memorial Hospital Medical Staff Services
• Beauregard Parish School Board

• Oxygen Equipment & Supplies (DME) in Deridder, LA
• Providers in Deridder, LA by specialty
• Oxygen Equipment & Supplies (DME) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2012; 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.