South Beauregard Medical Center | |
12186 Highway 171 Longville LA 70652 | |
(337) 226-5301 | |
Not Available |
Full Name | South Beauregard Medical Center |
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Speciality | Clinic/Center |
Location | 12186 Highway 171, Longville, Louisiana |
Authorized Official Name and Position | David Vizinat (OWNER/ PROVIDER) |
Authorized Official Contact | 3374057778 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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South Beauregard Medical Center 12186 Highway 171 Longville LA 70652-4625 Ph: (337) 405-7778 | South Beauregard Medical Center 12186 Highway 171 Longville LA 70652 Ph: (337) 226-5301 |
NPI Number | 1689126658 |
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Provider Enumeration Date | 10/26/2016 |
Last Update Date | 02/04/2020 |
Medicare PECOS PAC ID | 8729356456 |
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Medicare Enrollment ID | O20170621000344 |
Identifier | Type | State | Issuer |
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1689126658 | NPI | - | NPPES |
Provider Name | Robin Bedgood |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336490986 PECOS PAC ID: 3779735741 Enrollment ID: I20121221000029 |
Provider Name | David C Vizinat |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730455825 PECOS PAC ID: 4789848375 Enrollment ID: I20160105001305 |
Provider Name | Derrick F Thibodeaux |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659762839 PECOS PAC ID: 4385946565 Enrollment ID: I20160105001532 |
South Beauregard Health Center, L.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12186 Highway 171, Longville, LA 70652 Phone: 337-462-7106 Fax: 337-462-7479 | |
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 |