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BEAUREGARD FAMILY MEDICAL CENTER, LLC
NPI 1326387705
Clinic/Center - Multi-Specialty in Deridder, LA

Active since February 05, 2013CLIA 19D2109914 · Waiver
501 S PINE ST, DERIDDER, LA 70634(337) 462-7409(337) 462-7479 Get Directions Write a Review

NPPES record last updated: November 25, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 25, 2020, Nov 3, 2016 (2 updates tracked since 2016).

About Beauregard Family Medical Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEAUREGARD FAMILY MEDICAL CENTER, LLC (NPI 1326387705) is a healthcare organization registered as a multi-specialty in Deridder, Louisiana and active in the NPI registry since February 2013. The organization holds a CLIA Waiver certificate valid through March 3, 2028 and lists Darrell L Kingham, Cfo, as its authorized official.

NPPES Registry Identity

NPI1326387705
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameBEAUREGARD FAMILY MEDICAL CENTER, LLC
Location Address501 S PINE STDeridder, LA 70634-4939
Mailing AddressPo Box 730Deridder, LA 70634-0730 · (337) 462-7409 · Fax (337) 462-7479
Phone(337) 462-7409
Fax(337) 462-7479
Organization SubpartYesParent: West Louisiana Health Services, Inc
Authorized OfficialDarrell L KinghamCfo · (337) 462-7409
Enumeration DateFebruary 5, 2013
Last NPPES UpdateNovember 25, 20202 updates tracked since enumeration
NPPES CertifiedNovember 25, 2020
✔ NPI 1326387705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
501 S PINE ST, Deridder, LA 70634
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 19D2109914

Beauregard Family Medical Center LLC · Deridder, LA
Active · expires Mar 3, 2028
CLIA Number19D2109914
Laboratory TypePhysician Office
Certificate Effective DateMarch 4, 2026
Certificate Expiration DateMarch 3, 2028
Laboratory DirectorEdwin R. Bonilla
Laboratory Phone(337) 463-9890
Laboratory LocationBeauregard Family Medical Center LLC501 S Pine Street, Deridder, LA 70634
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. CHRISTINA MILLER FNP-C
Nurse Practitioner (Primary Care)
501 S PINE ST
DERIDDER, LA 70634
Beauregard Parish (337) 463-9890
DR. FLYNN A TAYLOR I M.D.
Family Medicine
501 S PINE ST
DERIDDER, LA 70634
Beauregard Parish (337) 463-9890
DALLAS DAY PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
501 S PINE ST
DERIDDER, LA 70634
Beauregard Parish (337) 463-9890
HOSPITAL SERVICE DISTRICT NO 2 OF PARISH OF BEAUREGARD STATE OF LA
Clinic/Center (Rural Health)
501 S PINE ST
DERIDDER, LA 70634
Beauregard Parish (337) 463-9890
SAMANTHA MARTIN
Nurse Practitioner (Family)
501 S PINE ST
DERIDDER, LA 70634
Beauregard Parish (337) 463-9890
KATI DOOLEY DAY APRN, CPNP-PC
Nurse Practitioner (Pediatrics)
501 S PINE ST
DERIDDER, LA 70634
Beauregard Parish (337) 463-9890

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beauregard Family Medical Center, LLC's NPI number?

The NPI number for Beauregard Family Medical Center, LLC is 1326387705. It was assigned to this organization in the NPPES registry on February 5, 2013.

Where is Beauregard Family Medical Center, LLC located?

Beauregard Family Medical Center, LLC is located at 501 S Pine St, Deridder, LA 70634. The listed phone number is (337) 462-7409.

What is Beauregard Family Medical Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Beauregard Family Medical Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2109914) is associated with this NPI, valid through March 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Beauregard Family Medical Center, LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan list Beauregard Family Medical Center, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Beauregard Family Medical Center, LLC was last updated on November 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.