HOSPITAL SERVICE DISTRICT NO 2 OF PARISH OF BEAUREGARD STATE OF LA (NPI# 1891750907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891750907 |
| Entity Type | Organization |
| Organization Name | HOSPITAL SERVICE DISTRICT NO 2 OF PARISH OF BEAUREGARD STATE OF LA |
| Other Organization Name | BEAUREGARD MEMORIAL HOSPITAL |
| 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 | 2006-04-20 |
| Last Update Date | 2019-07-19 |
| Authorized Official Name | MR. DARRELL LESLIE KINGHAM (CFO) |
| Authorized Official Telephone | 3374627111 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | SWING BED | 19U050 | 01 |
| Other Name | Type Code |
|---|---|
| Beauregard Memorial Hospital | Doing Business As Name - Organization |
| 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 |
| 1619342227 | Hospital Service District No 2 of Parish of Beauregard State of La | Clinic/Center | 206 W 5th St, Deridder, LA 70634-4856 | 2015-12-08 |
| 1801261417 | Hospital Service District No 2 of Parish of Beauregard State of La | Clinic/Center | 495 W 8th St, Deridder, LA 70634-5507 | 2015-12-08 |
| 1578938452 | Hospital Service District No 2 of Parish of Beauregard State of La | Clinic/Center | 501 S Pine St, Deridder, LA 70634-4939 | 2015-12-03 |
| 1912372897 | Hospital Service District No 2 of Parish of Beauregard State of La | Clinic/Center | 301 S Washington St, Suite B, Deridder, LA 70634-4861 | 2015-12-03 |
| 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 |
| 1164985495 | West Louisiana Health Services Inc | Physical Therapist | 600 S Pine St, Deridder, LA 70634-4942 | 2019-04-12 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 70634 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306229075 | Feronie Schunior | Medicare Defined Swing Bed Unit | 1150 Robert Ste 230, Slidell, LA 70458 | 2015-06-30 |
| 1245524271 | New Orleans East Rehab Hospital, Inc. | Medicare Defined Swing Bed Unit | 333 E. Worthey Rd., Gonzales, LA 70737-4234 | 2011-06-07 |
| 1477886141 | St Martin Hospital, Inc. | Medicare Defined Swing Bed Unit | 210 Champagne Boulevard, Breaux Bridge, LA 70517-3700 | 2009-09-14 |
| 1285835561 | Bienville Medical Center Inc | Medicare Defined Swing Bed Unit | 1175 Pine St Ste 200, Arcadia, LA 71001-3113 | 2007-05-31 |
| 1447465075 | Wards 3 4 & 10 Hospital Service District Parish of Union | Medicare Defined Swing Bed Unit | 409 1st Street, Bernice, LA 71222-0697 | 2007-05-14 |
| 1962569079 | Clhg-ville Platte LLC | Medicare Defined Swing Bed Unit | 800 E Main Street, Ville Platte, LA 70586-4615 | 2007-01-02 |
| 1922162833 | Hospital Service District 2 of The Parish of Tangipahoa State of La. | Medicare Defined Swing Bed Unit | 301 W Walnut St, Amite, LA 70422-2025 | 2006-12-22 |
| 1497826820 | Phc-opelousas Lp | Medicare Defined Swing Bed Unit | 3983 I-49 South Service Rd., Opelousas, LA 70570 | 2006-11-09 |
| 1760453310 | Clhg-leesville LLC | Medicare Defined Swing Bed Unit | 1020 W. Fertitta Blvd, Loosville, LA 71446-4645 | 2006-01-31 |
| 1033196456 | Ochsner Clinic Foundation | Medicare Defined Swing Bed Unit | 2614 Jefferson Hwy Fl 3, Jefferson, LA 70121-3828 | 2005-12-28 |
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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.