| Beauregard Internal Medicine Center, Llc | |
|
495 W 8th St Deridder LA 70634-5507 | |
| (337) 462-7409 | |
| (337) 462-7479 |
| Full Name | Beauregard Internal Medicine Center, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 495 W 8th St, Deridder, Louisiana |
| Authorized Official Name and Position | Darrell L. Kingham (CFO) |
| Authorized Official Contact | 3374627409 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beauregard Internal Medicine Center, Llc Po Box 730 Deridder LA 70634-0730 Ph: (337) 462-7409 | Beauregard Internal Medicine Center, Llc 495 W 8th St Deridder LA 70634-5507 Ph: (337) 462-7409 |
| NPI Number | 1588964175 |
|---|---|
| Provider Enumeration Date | 10/28/2010 |
| Last Update Date | 11/04/2016 |
| Medicare PECOS PAC ID | 7113100801 |
|---|---|
| Medicare Enrollment ID | O20110317000340 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588964175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Steven C Farquhar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538153002 PECOS PAC ID: 4981686995 Enrollment ID: I20040603000719 |
| Provider Name | Kallie I Hess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316308927 PECOS PAC ID: 9931492998 Enrollment ID: I20160728000335 |
| Provider Name | Samantha F Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699384628 PECOS PAC ID: 0042636615 Enrollment ID: I20200812003751 |
| Provider Name | Christine M Hoffpauir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063087112 PECOS PAC ID: 4486050002 Enrollment ID: I20210908000548 |
| Provider Name | Kellie Paddy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154564169 PECOS PAC ID: 6204069081 Enrollment ID: I20211202000859 |
Imperial Health Llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 W 5th St, Deridder, LA 70634 Phone: 337-202-7850 | |
Davenport Family Medical Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 W 6th St, Deridder, LA 70634 Phone: 337-460-0690 Fax: 337-460-0961 | |
Beauregard Medical And Surgical Center, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 301 S Washington St, Deridder, LA 70634 Phone: 337-462-7409 Fax: 337-462-7479 | |
Beauregard Parish School Board Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 W 3rd St, Deridder, LA 70634 Phone: 337-463-5551 | |
Kufoy Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 311 S Pine St, Deridder, LA 70634 Phone: 337-463-3500 Fax: 337-463-3526 | |
Beauregard Parish School Board Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 W 3rd St, Deridder, LA 70634 Phone: 337-463-5551 | |
Family Health Partners Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1808 Highway 190 W, Deridder, LA 70634 Phone: 337-855-9023 Fax: 337-855-1829 |