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

NPI Status: Active since June 12, 2013

Contact Information

12186 HIGHWAY 171
LONGVILLE, LA
ZIP 70652
Phone: (337) 462-7106
Fax: (337) 462-7479

Get Directions Reviews

  • Organization
  • Clinic/Center
  • Primary Care
  • CLIA Number: 19D2129240
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 04-16-2027

About SOUTH BEAUREGARD HEALTH CENTER, L.L.C.

This page provides the complete NPI Profile along with additional information for South Beauregard Health Center, L.l.c., a primary care provider established in Longville, Louisiana operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1427496462 assigned on June 2013. The practitioner's primary taxonomy code is 261QP2300X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Mr. Darrell L Kingham Cpa (Cfo)

NPI
1427496462
Provider Name
SOUTH BEAUREGARD HEALTH CENTER, L.L.C.
Entity Type
Organization
Location Address
12186 HIGHWAY 171 LONGVILLE, LA 70652
Location Phone
(337) 462-7106
Location Fax
(337) 462-7479
Mailing Address
PO BOX 490 DERIDDER, LA 70634
Mailing Phone
(337) 462-7106
Mailing Fax
(337) 462-7479
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-12-2013
Last Update Date
06-12-2013
Code Navigator

A primary care provider (PCP) like South Beauregard Health Center, L.l.c. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Primary Care

Taxonomy Code
261QP2300X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. DARRELL L KINGHAM CPA

Authorized Official Title
CFO
Authorized Official Phone
(337) 462-7111

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
19D2129240
Facility Type
Practitioner Other
Certificate Effective Date
April 17, 2025
Certificate Expiration Date
April 16, 2027
Laboratory Director
DAVID C. VIZINAT
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to South Beauregard Health Center, L.l.c. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for SOUTH BEAUREGARD HEALTH CENTER, L.L.C.

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1427496462
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24478912412
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 4 + 7 + 8 + 9 + 1 + 2 + 4 + 1 + 2 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1427496462 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1730455825MR. DAVID VIZINAT APRN FNP-C
Individual
Nurse Practitioner (Family)12186 HIGHWAY 171
LONGVILLE, LA 70652
(770) 842-0901
1689126658BEAUREGARD MEDICAL GROUP LLC
Organization
Clinic/Center (Primary Care)12186 HIGHWAY 171
LONGVILLE, LA 70652
(337) 226-5301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427496462, enumerated in the NPI registry as an "organization" on June 12, 2013

The provider is located at 12186 Highway 171 Longville, La 70652 and the phone number is (337) 462-7106

This medical organization specializes in Clinic/Center with taxonomy code 261QP2300X with a focus in Primary Care

The provider's CLIA number is 19D2129240 for a "practitioner other" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on June 12, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.