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NPI Code Detail

MEDICARE: BEAUREGARD MEMORIAL HOME HEALTH

MEDICARE: BEAUREGARD MEMORIAL HOME HEALTH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency251E00000XLA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427031582
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEAUREGARD MEMORIAL HOME HEALTH
Provider Business Mailing Address
First Line : 600 S PINE ST
Second Line :
City : DERIDDER
State : LA
Zip : 70634-4942
Country : US
Telephone Number : 337-462-7189
Fax Number : 337-462-7455
Provider Business Practice Location Address
First Line : 600 S PINE ST
Second Line :
City : DERIDDER
State : LA
Zip : 70634-4942
Country : US
Telephone Number : 337-462-7189
Fax Number : 337-462-7455
Authorized Official
Title or Position : OFFICE MANAGER
Name : MS. ROXANA EVETTE VERRETT
Credential :
Telephone Number : 337-462-7189
Provider Enumeration Date : 11/22/2005
Last Update Date : 08/03/2007

Similar Medicare Providers

1831193499 — HOSPITAL SERVICE DISTRICT NO 2 OF PARISH OF BEAUREGARD STATE OF LA
Practice Location Address:
600 S PINE ST
DERIDDER, LA
70634-4942
Practice Phone: 337-462-7100
Practice Fax:
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Practice Location Address:
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DERIDDER, LA
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Practice Fax: 337-462-9947
1891750907 — HOSPITAL SERVICE DISTRICT NO 2 OF PARISH OF BEAUREGARD STATE OF LA
Practice Location Address:
600 S PINE ST
DERIDDER, LA
70634-4942
Practice Phone: 337-462-7409
Practice Fax: 337-462-7479
1114024239 — JOHN ERROL MCMILLAN MD
Practice Location Address:
600 S PINE ST
DERIDDER, LA
70634-4942
Practice Phone: 800-893-9698
Practice Fax:
1265632699 — BEAUREGARD MEMORIAL HOSPITAL EMERGENCY ROOM PHYSICIANS
Practice Location Address:
600 S PINE ST
DERIDDER, LA
70634-4942
Practice Phone: 337-462-7100
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1801087184 — BEAUREGARD MEMORIAL HOSPITAL MEDICAL STAFF SERVICES
Practice Location Address:
600 S PINE ST
DERIDDER, LA
70634-4942
Practice Phone: 337-462-7100
Practice Fax: 337-462-7435

Directions to “BEAUREGARD MEMORIAL HOME HEALTH ” Practice Location

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