Provider Demographics
NPI:1346752938
Name:ACADIAN URGENT CARE CENTER, LLC
Entity Type:Organization
Organization Name:ACADIAN URGENT CARE CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILFORD
Authorized Official - Middle Name:PERRY
Authorized Official - Last Name:STOKES
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:337-519-1999
Mailing Address - Street 1:7713 SUGAR OAKS RD
Mailing Address - Street 2:
Mailing Address - City:NEW IBERIA
Mailing Address - State:LA
Mailing Address - Zip Code:70563-8666
Mailing Address - Country:US
Mailing Address - Phone:337-519-1999
Mailing Address - Fax:337-229-1159
Practice Address - Street 1:600 N LEWIS ST
Practice Address - Street 2:
Practice Address - City:NEW IBERIA
Practice Address - State:LA
Practice Address - Zip Code:70563-2043
Practice Address - Country:US
Practice Address - Phone:337-519-1999
Practice Address - Fax:337-229-1159
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-03
Last Update Date:2017-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care