Provider Demographics
NPI:1215537626
Name:ACCESS URGENT CARE INC
Entity Type:Organization
Organization Name:ACCESS URGENT CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:DALE
Authorized Official - Last Name:BERNAUER
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:337-794-1227
Mailing Address - Street 1:5955 CAMELLIA PL
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70605-3106
Mailing Address - Country:US
Mailing Address - Phone:337-794-1227
Mailing Address - Fax:
Practice Address - Street 1:1530 E MCNEESE ST
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70607-4784
Practice Address - Country:US
Practice Address - Phone:337-564-5322
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-27
Last Update Date:2020-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care