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BEAUREGARD MEMORIAL HOSPITAL
NPI 1720304801
Pharmacy - Institutional Pharmacy in Deridder, LA

Active since April 14, 2010CLIA 19D0048743 · Accreditation
600 S PINE ST, DERIDDER, LA 70634(337) 462-7172(337) 462-7328 Get Directions Write a Review

NPPES record last updated: April 14, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Beauregard Memorial Hospital NPPES

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

BEAUREGARD MEMORIAL HOSPITAL (NPI 1720304801) is a healthcare organization registered as an institutional pharmacy in Deridder, Louisiana and active in the NPI registry since April 2010. The organization holds an CLIA Accreditation certificate valid through November 30, 2027 and lists Alexandre Manitzas, Director Of Pharmacy, as its authorized official.

NPPES Registry Identity

NPI1720304801
Entity TypeOrganization
Primary Taxonomy3336I0012X
Legal Business NameWEST LOUISIANA HEALTH SERVICES INC
Location Address600 S PINE STDeridder, LA 70634-4942
Mailing Address600 S Pine StDeridder, LA 70634-4942 · (337) 462-7172 · Fax (337) 462-7328
Phone(337) 462-7172
Fax(337) 462-7328
Organization SubpartNo
Authorized OfficialAlexandre ManitzasDirector Of Pharmacy · (337) 462-7172
Enumeration DateApril 14, 2010
✔ NPI 1720304801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Institutional PharmacySuppliers
Taxonomy Code3336I0012X
License✔ Licensed in LA · 001311
Definition
A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
600 S PINE ST, Deridder, LA 70634
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Other Names 1

Doing Business AsBeauregard Memorial Hospital

Other Identifiers 1

Other1912559Ncpdp Provider Identification Number

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 Accreditation 19D0048743

Beauregard Memorial Hospital Hospital Service Dist #2 Parish Of Beauregard · Deridder, LA
Active · expires Nov 30, 2027
CLIA Number19D0048743
Laboratory TypeHospital
Certificate Effective DateDecember 1, 2025
Certificate Expiration DateNovember 30, 2027
Laboratory DirectorSara Samadzadeh
Laboratory Phone(334) 462-8549
Laboratory LocationBeauregard Memorial Hospital Hospital Service Dist #2 Parish Of Beauregard600 South Pine Street, Deridder, LA 70634
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

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

ANNA REUBER
Nurse Practitioner
600 S PINE ST
DERIDDER, LA 70634
Beauregard Parish (337) 462-7100
JOHN ERROL MCMILLAN MD
Emergency Medicine
600 S PINE ST
DERIDDER, LA 70634
Beauregard Parish (800) 893-9698
WEST LOUISIANA HEALTH SERVICES INC
Obstetrics & Gynecology
600 S PINE ST
DERIDDER, LA 70634
Beauregard Parish (337) 462-7409
BEAUREGARD - VERNON MRI LLC
Physiological Laboratory
600 S PINE ST, MRI SUITE
DERIDDER, LA 70634
Beauregard Parish (337) 462-9946
BEAUREGARD MEMORIAL HOSPITAL EMERGENCY ROOM PHYSICIANS
General Acute Care Hospital (Rural)
600 S PINE ST
DERIDDER, LA 70634
Beauregard Parish (337) 462-7100
MRS. AMANDA LEIGH HARRELL F.N.P.-C
Nurse Practitioner (Family)
600 S PINE ST
DERIDDER, LA 70634
Beauregard Parish (337) 462-7100
TATE FAZIO CRNA
Nurse Anesthetist, Certified Registered
600 S PINE ST
DERIDDER, LA 70634
Beauregard Parish (337) 401-5253
WEST LOUISIANA HEALTH SERVICES INC
Pathology (Clinical Pathology/Laboratory Medicine)
600 S PINE ST
DERIDDER, LA 70634
Beauregard Parish (337) 462-7100

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 West Louisiana Health Services Inc's NPI number?

The NPI number for West Louisiana Health Services Inc is 1720304801. It was assigned to this organization in the NPPES registry on April 14, 2010. The provider is doing business as Beauregard Memorial Hospital.

Where is West Louisiana Health Services Inc located?

West Louisiana Health Services Inc is located at 600 S Pine St, Deridder, LA 70634. The listed phone number is (337) 462-7172.

What is West Louisiana Health Services Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Institutional Pharmacy, with taxonomy code 3336I0012X.

Does West Louisiana Health Services Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 19D0048743) is associated with this NPI, valid through November 30, 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 West Louisiana Health Services Inc was last updated on April 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.