Organization Active NPI

Family Healthcare of Beauregard, L.L.C.

  • Primary Care Clinic/Center
  • Deridder, LA
National Provider Identifier
1982017273
Registry record updated Jun 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
FAMILY HEALTHCARE OF BEAUREGARD, L.L.C.
Practice address
403 W 8TH St
Deridder, LA 70634-5507
Phone
(337) 463-8977
Fax
(337) 462-3093
NPI assigned
Jun 4, 2014
Organization subpart
Yes
Parent organization
WEST LOUISIANA HEALTH SERVICES, INC.As reported in NPPES

Authorized official

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

Member of 1

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

Practitioners 2

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

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20141011000004 LA Part B Supplier - Clinic/Group Practice 8729208830 Receives reassigned benefits from 2 practitioners
Practice locations: Deridder, LA

National Provider Directory

National Provider Directory
Part of
Beauregard Memorial Hospital Medical Staff Services

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

NPPES NPI Registry

Primary practice location

403 W 8TH St
Deridder, LA 70634-5507

Mailing address

PO Box 935
Deridder, LA 70634-0935
Phone (337) 463-8977

Other names 1

NPPES NPI Registry
  • Edwin R. Bonilla, M.D. Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 7, 2025.

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749254400000",
    "number": "1982017273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 935",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706340935",
            "telephone_number": "337-463-8977",
            "fax_number": "337-462-3093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 W 8TH ST",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706345507",
            "telephone_number": "337-463-8977",
            "fax_number": "337-462-3093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTHCARE OF BEAUREGARD, L.L.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WEST LOUISIANA HEALTH SERVICES, INC.",
        "enumeration_date": "2014-06-04",
        "last_updated": "2025-06-07",
        "certification_date": "2025-06-07",
        "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": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edwin R. Bonilla, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Deridder, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.