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BEAUREGARD MEDICAL GROUP LLC

Primary Care

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Contact Information

BEAUREGARD MEDICAL GROUP LLC
12186 HIGHWAY 171
LONGVILLE, LA  70652
 Phone: 337-226-5301
 Fax:
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Primary Care

 261QP2300X
 

Family

 363LF0000X 50 Nurse Practitioner
 

Rural Health

 261QR1300X B4[14] Rural Health Clinic
Indicates primary specialty

NPI Profile & details for BEAUREGARD MEDICAL GROUP LLC

NPI # 1689126658
LBN Legal business name BEAUREGARD MEDICAL GROUP LLC
Authorized official DAVID VIZINAT - (OWNER/ PROVIDER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/26/2016
Last updated 02/04/2020 - About 6 years ago
Identifiers
LA License # AP08501
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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