Provider Demographics
NPI:1609412097
Name:HULIN URGENT CARE SERVICES, LLC
Entity Type:Organization
Organization Name:HULIN URGENT CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
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 1:1110 E SAINT PETER ST
Mailing Address - Street 2:
Mailing Address - City:NEW IBERIA
Mailing Address - State:LA
Mailing Address - Zip Code:70560-3932
Mailing Address - Country:US
Mailing Address - Phone:337-364-1166
Mailing Address - Fax:337-364-7090
Practice Address - Street 1:4319 HIGHWAY 84
Practice Address - Street 2:
Practice Address - City:VIDALIA
Practice Address - State:LA
Practice Address - Zip Code:71373
Practice Address - Country:US
Practice Address - Phone:318-414-2190
Practice Address - Fax:318-414-2191
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HULIN URGENT CARE SERVICES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-11-21
Last Update Date:2019-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care