Provider Demographics
NPI:1194369439
Name:HULIN URGENT CARE SERVICES, LLC
Entity Type:Organization
Organization Name:HULIN URGENT CARE SERVICES, LLC
Other - Org Name:SOUTHSTAR URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:BREAUX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-364-1166
Mailing Address - Street 1:965 STERLINGTON HWY
Mailing Address - Street 2:
Mailing Address - City:FARMERVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71241
Mailing Address - Country:US
Mailing Address - Phone:318-608-4681
Mailing Address - Fax:318-608-4682
Practice Address - Street 1:965 STERLINGTON HWY
Practice Address - Street 2:
Practice Address - City:FARMERVILLE
Practice Address - State:LA
Practice Address - Zip Code:71241
Practice Address - Country:US
Practice Address - Phone:318-608-4681
Practice Address - Fax:318-608-4682
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HULIN URGENT CARE SERVICES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-10-30
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care