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SOUTH BEAUREGARD HEALTH CENTER, L.L.C.
NPI 1427496462
Clinic/Center - Primary Care in Longville, LA

Active since June 12, 2013CLIA 19D2129240 · Waiver
12186 HIGHWAY 171, LONGVILLE, LA 70652(337) 462-7106(337) 462-7479 Get Directions Write a Review

NPPES record last updated: June 12, 2013. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About South Beauregard Health Center, L.l.c. NPPES

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

SOUTH BEAUREGARD HEALTH CENTER, L.L.C. (NPI 1427496462) is a healthcare organization registered as a primary care in Longville, Louisiana and active in the NPI registry since June 2013. The organization holds a CLIA Waiver certificate valid through April 16, 2027 and lists Darrell L Kingham, Cfo, as its authorized official.

NPPES Registry Identity

NPI1427496462
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSOUTH BEAUREGARD HEALTH CENTER, L.L.C.
Location Address12186 HIGHWAY 171Longville, LA 70652-4625
Mailing AddressPo Box 490Deridder, LA 70634-0490 · (337) 462-7106 · Fax (337) 462-7479
Phone(337) 462-7106
Fax(337) 462-7479
Organization SubpartYesParent: Hospital Service District No 2 Of Parish Of Beauregard State Of La
Authorized OfficialDarrell L KinghamCfo · (337) 462-7111
Enumeration DateJune 12, 2013
✔ NPI 1427496462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
12186 HIGHWAY 171, Longville, LA 70652
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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 19D2129240

South Beauregard Medical Center · Longville, LA
Active · expires Apr 16, 2027
CLIA Number19D2129240
Laboratory TypePractitioner Other
Certificate Effective DateApril 17, 2025
Certificate Expiration DateApril 16, 2027
Laboratory DirectorDavid C. Vizinat
Laboratory Phone(770) 842-0901
Laboratory LocationSouth Beauregard Medical Center12186 Hwy 171, Longville, LA 70652
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

BEAUREGARD MEDICAL GROUP LLC
Clinic/Center (Primary Care)
12186 HIGHWAY 171
LONGVILLE, LA 70652
Beauregard Parish (337) 226-5301
MR. DAVID VIZINAT APRN FNP-C
Nurse Practitioner (Family)
12186 HIGHWAY 171
LONGVILLE, LA 70652
Beauregard Parish (770) 842-0901

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 South Beauregard Health Center, L.L.C.'s NPI number?

The NPI number for South Beauregard Health Center, L.L.C. is 1427496462. It was assigned to this organization in the NPPES registry on June 12, 2013.

Where is South Beauregard Health Center, L.L.C. located?

South Beauregard Health Center, L.L.C. is located at 12186 Highway 171, Longville, LA 70652. The listed phone number is (337) 462-7106.

What is South Beauregard Health Center, L.L.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does South Beauregard Health Center, L.L.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2129240) is associated with this NPI, valid through April 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for South Beauregard Health Center, L.L.C. was last updated on June 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.