WEST LOUISIANA HEALTH SERVICES INC (NPI# 1164985495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164985495 |
| Entity Type | Organization |
| Organization Name | WEST LOUISIANA HEALTH SERVICES INC |
| Other Organization Name | BEAUREGARD HEALTH SYSTEM |
| Practice Address |
600 S Pine St Deridder LA 70634-4942 |
| Mailing Address |
Po Box 730 Deridder LA 70634-0730 |
| Practice Telephone | 3374627409 |
| Practice Fax Number | 3374627479 |
| Mailing Telephone | 3374627409 |
| Mailing Fax Number | 3374627479 |
| Enumeration Date | 2019-04-12 |
| Last Update Date | 2020-07-06 |
| Authorized Official Name | MR. DARRELL L KINGHAM (CFO) |
| Authorized Official Telephone | 3374627111 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 282N00000X | General Acute Care Hospital | Hospitals | ||
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Beauregard Health System | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720304801 | West Louisiana Health Services Inc | Pharmacy | 600 S Pine St, Deridder, LA 70634-4942 | 2010-04-14 |
| Street Address |
600 S PINE ST |
| City | DERIDDER |
| State | LA |
| Zip Code | 70634-4942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831193499 | Hospital Service District No 2 of Parish of Beauregard State of La | General Acute Care Hospital | 600 S Pine St, Deridder, LA 70634-4942 | 2005-06-10 |
| 1780203000 | James Christian Armetta | Speech-Language Pathologist | 600 S Pine St, Deridder, LA 70634-4942 | 2020-04-16 |
| 1083111678 | Anna Reuber | Nurse Practitioner | 600 S Pine St, Deridder, LA 70634-4942 | 2018-04-10 |
| 1972019529 | Alexis J Amato | Specialist/Technologist | 600 S Pine St, Deridder, LA 70634-4942 | 2017-12-19 |
| 1316308927 | Kallie Hess | Nurse Practitioner | 600 S Pine St, Deridder, LA 70634-4942 | 2016-03-09 |
| 1972906758 | Concord Medical Group, Pllc | Hospitalist | 600 S Pine St, Deridder, LA 70634-4942 | 2014-10-07 |
| 1710226790 | Beauregard Physician Services LLC | Physician Assistant | 600 S Pine St, Deridder, LA 70634-4942 | 2013-02-11 |
| 1295082568 | Amanda Leigh Harrell | Registered Nurse | 600 S Pine St, Deridder, LA 70634-4942 | 2012-08-06 |
| 1497034185 | Deborah Michelle Thompson | Nurse Practitioner | 600 S Pine St, Deridder, LA 70634-4942 | 2011-08-11 |
| 1992005532 | Beauregard Pediatric Center, LLC | Pediatrics | 600 S Pine St, Deridder, LA 70634-4942 | 2010-10-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861016164 | Just Health | Clinic/Center | 411 Bolivar Bishop Dr, Deridder, LA 70634 | 2020-06-02 |
| 1477193183 | Stacey Marie Legros | Occupational Therapy Assistant | 19503 Highway 171, Deridder, LA 70634 | 2020-01-10 |
| 1487296588 | Imperial Health LLP | Internal Medicine | 200 W 5th Street, Deridder, LA 70634 | 2019-10-10 |
| 1902367568 | Residential Therapy Solutions, LLC | Physical Therapist | 19503 Hwy 171, Deridder, LA 70634 | 2019-03-27 |
| 1023583044 | Calcasieu Urgent Care LLC | Clinic/Center | 1017 N Pine Street, Deridder, LA 70634 | 2018-10-05 |
| 1235638222 | Melanie Welch, Fnp, LLC | Nurse Practitioner | 1420 Blankenship Dr., Deridder, LA 70634 | 2018-02-06 |
| 1265976617 | Jennifer Dianne Midgett | Nurse Practitioner | 2581 Highway 190 W, Deridder, LA 70634 | 2016-12-05 |
| 1821419334 | Beauregard Hematolog & Oncology | Internal Medicine | 301 S. Washington St., Ste B, Deridder, LA 70634 | 2013-12-31 |
| 1982835013 | Kathern Sue Hollifield | Physical Therapist | 309 S. Washington St., Beauregard Physical Therapy Clinic Inc, Deridder, LA 70634 | 2009-08-06 |
| 1750541777 | Tracy Winkley | Physical Therapist | 1744 Ball Rd, Deridder, LA 70634 | 2008-06-12 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750388856 | James R Rudd Sr. | Obstetrics & Gynecology | 206 W 5th St, Deridder, LA 70634-4856 | 2005-07-05 |
| 1801196498 | Beauregard Women's Health Center, LLC | Obstetrics & Gynecology | 600 S Pine St, Deridder, LA 70634-4942 | 2010-10-28 |
| 1922218429 | James Robert Rudd Jr. | Obstetrics & Gynecology | 206 W 5th St, Deridder, LA 70634-4856 | 2007-05-23 |
| 1114924826 | David L Jones | Obstetrics & Gynecology | 206 W 5th St, Deridder, LA 70634-4856 | 2005-07-07 |
| 1043217144 | Hubert E Kleinpeter | Obstetrics & Gynecology | 206 W 5th St, Deridder, LA 70634-4856 | 2005-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003420217 | Phoenix Medical Healthcare Center, Inc | Obstetrics & Gynecology | 215 Everett St, Morgan City, LA 70380-3618 | 2020-09-04 |
| 1124645676 | Michelle R Stutes, Md Apm LLC | Obstetrics & Gynecology | 4630 Ambassador Caffery Pkwy Ste 412, Lafayette, LA 70508-6950 | 2020-07-01 |
| 1457995482 | Howard Stelly LLC | Obstetrics & Gynecology | 1920 W Sale Rd Ste 6, Lake Charles, LA 70605-2400 | 2019-11-02 |
| 1700431616 | Sarah Hess Ordoyne | Obstetrics & Gynecology | 4720 S I 10 Service Rd W Ste 502, Metairie, LA 70001-1243 | 2019-08-07 |
| 1265090179 | Lexus Louvier Martin | Obstetrics & Gynecology | 4150 Nelson Rd Bldg E, Lake Charles, LA 70605-4148 | 2019-06-05 |
| 1548729718 | Maggie Joyner Cahill | Obstetrics & Gynecology | 37066 Longwood Ave, Prairieville, LA 70769-3568 | 2019-03-18 |
| 1174015945 | Southern Obgyn LLC | Obstetrics & Gynecology | 155 Hospital Dr Ste 410, Lafayette, LA 70503-2852 | 2018-06-06 |
| 1215448840 | John Herbert Finnan Sr. | Obstetrics & Gynecology | 4701 Woodland Ave, Metairie, LA 70002-1361 | 2017-10-23 |
| 1336688464 | Well Womans Center of Louisiana | Obstetrics & Gynecology | 708 Jackson St, Monroe, LA 71201-8420 | 2017-02-22 |
| 1922540996 | Md In The Box, LLC | Obstetrics & Gynecology | 20165 Crystal Lake Dr, Hammond, LA 70403-0565 | 2016-11-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.