Provider Demographics
NPI:1558049163
Name:FAST AID URGENT CARE- BELLE CHASSE
Entity Type:Organization
Organization Name:FAST AID URGENT CARE- BELLE CHASSE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-890-8840
Mailing Address - Street 1:PO BOX 592028
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78259-0151
Mailing Address - Country:US
Mailing Address - Phone:210-906-8478
Mailing Address - Fax:210-787-2030
Practice Address - Street 1:8732 HIGHWAY 23 STE A
Practice Address - Street 2:
Practice Address - City:BELLE CHASSE
Practice Address - State:LA
Practice Address - Zip Code:70037-2228
Practice Address - Country:US
Practice Address - Phone:210-906-8478
Practice Address - Fax:210-787-2030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-05
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care