Active NPI
Family Healthcare of Beauregard, L.L.C.
- Primary Care Clinic/Center
- Deridder, LA
National Provider Identifier
1982017273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- 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.
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.
-
- Obstetrics & Gynecology Physician
- Deridder, LA
- NPI 1164985495
Member Of
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
NPPES NPI RegistryPrimary 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.
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.