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BEAUREGARD INTERNAL MEDICINE CENTER LLC NPI 1588964175


NPI Information

NPI: 1588964175
Provider Name: BEAUREGARD INTERNAL MEDICINE CENTER, LLC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 19D0048743

Address:
495 W 8TH ST
DERIDDER, LA
ZIP 70634
Phone: (337) 462-7409
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BEAUREGARD INTERNAL MEDICINE CENTER, LLC is an internal medicine in Deridder, LA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. BEAUREGARD INTERNAL MEDICINE CENTER, LLC NPI is 1588964175. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

495 W 8TH ST
DERIDDER, LA
ZIP 70634-507
Phone: (337) 462-7409
Fax: (337) 462-7479

The provider's authorized official is Darrell L. Kingham .
The authorized official title is Cfo and has the following contact phone number (337) 462-7409.

The CLIA number assigned to this NPI record is 19D0048743 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 10/28/2010 and was last updated on 11/4/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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