Provider Demographics
NPI:1659967214
Name:TOTAL HEALTH URGENT CARE
Entity Type:Organization
Organization Name:TOTAL HEALTH URGENT CARE
Other - Org Name:TOTAL HEALTH URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/NP
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNCAN
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:985-327-5158
Mailing Address - Street 1:205 BLACK JACK OAK DR
Mailing Address - Street 2:
Mailing Address - City:MADISONVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70447-9373
Mailing Address - Country:US
Mailing Address - Phone:985-327-5158
Mailing Address - Fax:
Practice Address - Street 1:73015 HIGHWAY 25 STE A
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70435-5694
Practice Address - Country:US
Practice Address - Phone:985-327-5158
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-17
Last Update Date:2021-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care