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Beauregard Medical Group LLC — NPI 1689126658, Longville, LA | NPI Central

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NPI 1689126658

OrganizationActive

Beauregard Medical Group LLC

NPI 1689126658 · Primary Care Clinic/Center · Longville, LA

Provider details

NPI number: 1689126658
Entity type: Organization
Primary specialty: Primary Care Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: David Vizinat, Owner/ Provider(337) 405-7778
License: AP08501 (LA)

Specialties & taxonomies

Primary Care Clinic/CenterPrimary261QP2300XLicense AP08501 (LA)
Ambulatory Health Care Facilities
Rural Health Clinic/Center261QR1300XLicense AP08501 (LA)
Ambulatory Health Care Facilities
Family Nurse Practitioner363LF0000XLicense AP08501 (LA)
Physician Assistants & Advanced Practice Nursing Providers

Practice location

12186 Highway 171

Longville, LA 70652

Phone: (337) 226-5301

Approximate (ZIP-level) locationGet directions

More LA providers

Mailing address

12186 Highway 171

Longville, LA 70652-4625

Other names (DBA / former)

Doing business as: South Beauregard Medical Center
Doing business as: South Beauregard Medical Center

Registry dates

Enumerated: 2016-10-26
Last updated: 2020-02-04
Certified: 2020-02-04

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.