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NPI Code Detail

MEDICARE: BEAUREGARD MEMORIAL HOSPITAL MEDICAL STAFF SERVICES

MEDICARE: BEAUREGARD MEMORIAL HOSPITAL MEDICAL STAFF SERVICES
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
1367500000XCertified Registered Nurse Anesthetist
2261QM1300XMulti-Specialty Clinic/Center

General Provider Information

NPI Number : 1801087184
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEAUREGARD MEMORIAL HOSPITAL MEDICAL STAFF SERVICES
Provider Business Mailing Address
First Line : PO BOX 730
Second Line :
City : DERIDDER
State : LA
Zip : 70634-0730
Country : US
Telephone Number : 337-462-7100
Fax Number : 337-462-7435
Provider Business Practice Location Address
First Line : 600 S PINE ST
Second Line :
City : DERIDDER
State : LA
Zip : 70634-4942
Country : US
Telephone Number : 337-462-7100
Fax Number : 337-462-7435
Authorized Official
Title or Position : CFO
Name : MR. JARRED VEILLON
Credential :
Telephone Number : 337-462-7409
Provider Enumeration Date : 08/05/2007
Last Update Date : 06/07/2025

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Directions to “BEAUREGARD MEMORIAL HOSPITAL MEDICAL STAFF SERVICES ” Practice Location

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