NPIMap

Organization Active NPI

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

  • Medicare Defined Swing Bed Hospital Unit
  • Deridder, LA
National Provider Identifier
1891750907
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
HOSPITAL SERVICE DISTRICT NO 2 OF PARISH OF BEAUREGARD STATE OF LA
Practice address
600 S Pine St
Deridder, LA 70634-4942
Phone
(337) 462-7409
Fax
(337) 462-7479
NPI assigned
Apr 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X Primary

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 identifiers 1

IdentifierTypeStateIssuer
19U050OtherLASWING BED

Other names 1

  • Beauregard Memorial Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151020001326 LA Part A Provider - Hospital 6800958083 Practice locations: Deridder, LA

Hospital certification: CCN 19U050

Legal name
HOSPITAL SERVICE DISTRICT NO 2 OF PARISH OF BEAUREGARD STATE OF LA
Doing business as
BEAUREGARD MEMORIAL HOSPITAL
Organization structure
GovernmentNon-profit
Enrollment address
600 South Pine St.
Deridder, LA 70634-0730
Hospital Swing-Bed Unit
Hospital subgroups
Acute care, Swing-bed approved

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Hospital Service District No 2 of Parish of Beauregard State of la6 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.

Ownership & related parties

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Tommie Cole Individual Corporate DirectorBoard Member Apr 19, 2013
Martha Banks Individual Corporate DirectorBoard Member Sep 13, 2011
Lana Richelle Bowman Individual Corporate DirectorBoard Member Aug 14, 2018
Darrell L Kingham Individual W-2 Managing EmployeeCfo Feb 6, 1989
Traci Thibodeaux Individual Corporate OfficerCeo Jan 1, 2021
W-2 Managing EmployeeCeo Jan 1, 2021
West Louisiana Health Services Inc Organization, Deridder, LA Corporation, Non-profit Operational/Managerial Control Sep 25, 1978 100%
Berl Andrews Individual Corporate DirectorBoard Member May 9, 2017
Connie Westfall Individual Corporate DirectorBoard Member Aug 11, 2020
Heather N Nortman Individual Corporate DirectorBoard Member May 17, 2013
Hospital Service District No 2 of Parish of Beauregard State of la Organization, Deridder, LA Created for acquisition 5% Or Greater Direct Ownership Interest Sep 25, 1978 100%
Joan Lester Individual Corporate DirectorBoard Member Feb 10, 2015
Samuel Miller Individual Corporate DirectorBoard Member Jul 13, 2012
Kenneth Farmer Individual Corporate DirectorBoard Member Sep 1, 2015
Jarred Veillon Individual Corporate Officer Dec 6, 2021

Owners & managing parties with NPI records 7

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 5

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 5% Or Greater Direct Ownership Interest (100%) Sep 25, 1978
Beauregard Home HealthDeridder, LA, CCN 197183 Home health agency 5% Or Greater Direct Ownership Interest (33%) Oct 1, 2008
Beauregard Medical and Surgical CenterDeridder, LA, CCN 198501 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Apr 18, 1989
Apr 1, 2014
Beauregard Internal Medicine CenterDeridder, LA, CCN 193498 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Sep 25, 1978
Apr 1, 2014
Beauregard Women'S Health CenterDeridder, LA, CCN 193499 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Apr 18, 1989
Apr 1, 2014

Owned or controlled facilities with NPI records 5

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

Facilities with the same owner 5

Facilities that share an organizational owner with 5% or greater ownership or operational control.

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750291200000",
    "number": "1891750907",
    "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": "HOSPITAL SERVICE DISTRICT NO 2 OF PARISH OF BEAUREGARD STATE OF LA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "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": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SWING BED",
            "identifier": "19U050",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beauregard Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Beauregard Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Deridder, LA

Sources for this page

Verify at the official NPI Registry.