Provider Demographics
NPI:1801389283
Name:CALCASIEU URGENT CARE LLC
Entity Type:Organization
Organization Name:CALCASIEU URGENT CARE LLC
Other - Org Name:NATCHITOCHES PARISH URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-426-0919
Mailing Address - Street 1:307 KEYSER AVE
Mailing Address - Street 2:
Mailing Address - City:NATCHITOCHES
Mailing Address - State:LA
Mailing Address - Zip Code:71457-5801
Mailing Address - Country:US
Mailing Address - Phone:318-352-5221
Mailing Address - Fax:318-382-7757
Practice Address - Street 1:307 KEYSER AVE
Practice Address - Street 2:
Practice Address - City:NATCHITOCHES
Practice Address - State:LA
Practice Address - Zip Code:71457-5801
Practice Address - Country:US
Practice Address - Phone:318-352-5221
Practice Address - Fax:318-382-7757
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CALCASIEU URGENT CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-06-11
Last Update Date:2018-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care