Provider Demographics
NPI:1467085530
Name:RAPID URGENT CARE, INC.
Entity Type:Organization
Organization Name:RAPID URGENT CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:JACKSON
Authorized Official - Last Name:DEASE
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:985-249-5600
Mailing Address - Street 1:229 SAINT JOHN LN
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-3276
Mailing Address - Country:US
Mailing Address - Phone:866-875-9225
Mailing Address - Fax:985-888-6817
Practice Address - Street 1:19115 FLORIDA BLVD STE A
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:LA
Practice Address - Zip Code:70711-3704
Practice Address - Country:US
Practice Address - Phone:225-435-7500
Practice Address - Fax:225-435-7501
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RAPID URGENT CARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-02-18
Last Update Date:2020-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2422472Medicaid