Provider Demographics
NPI:1346887098
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:VP OF ORGANIZATIONAL EFFECTIVENESS
Authorized Official - Prefix:
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:
Authorized Official - Last Name:BERARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-223-3368
Mailing Address - Street 1:1309 DUCHAMP RD
Mailing Address - Street 2:
Mailing Address - City:BROUSSARD
Mailing Address - State:LA
Mailing Address - Zip Code:70518-7603
Mailing Address - Country:US
Mailing Address - Phone:337-852-9530
Mailing Address - Fax:
Practice Address - Street 1:203 WESTGATE RD
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70506-2712
Practice Address - Country:US
Practice Address - Phone:337-223-8401
Practice Address - Fax:337-223-8402
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HULIN URGENT CARE SERVICES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-12-02
Last Update Date:2020-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care