| South Beauregard Health Center, L.l.c. | |
|
12186 Highway 171 Longville LA 70652-4625 | |
| (337) 462-7106 | |
| (337) 462-7479 |
| Full Name | South Beauregard Health Center, L.l.c. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 12186 Highway 171, Longville, Louisiana |
| Authorized Official Name and Position | Darrell L Kingham (CFO) |
| Authorized Official Contact | 3374627111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Beauregard Health Center, L.l.c. Po Box 490 Deridder LA 70634-0490 Ph: (337) 462-7106 | South Beauregard Health Center, L.l.c. 12186 Highway 171 Longville LA 70652-4625 Ph: (337) 462-7106 |
| NPI Number | 1427496462 |
|---|---|
| Provider Enumeration Date | 06/12/2013 |
| Last Update Date | 06/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427496462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
South Beauregard Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12186 Highway 171, Longville, LA 70652 Phone: 337-226-5301 | |
Diabetes & Obesity Control Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 176 Longville Church Rd, Longville, LA 70652 Phone: 337-564-6605 Fax: 337-433-3013 |