Organization Active NPI

Beaumont Urgent Care Clinic

  • Physical Therapy Clinic/Center
  • Baton Rouge, LA
National Provider Identifier
1104192434
Registry record updated Mar 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
BEAUMONT URGENT CARE CLINIC
Practice address
2097 Beaumont Dr
Suite 4
Baton Rouge, LA 70806-1412
Phone
(225) 394-5044
NPI assigned
Mar 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Tammie Jackson, PHD
Title
Ceo
Phone
(225) 394-5044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

2097 Beaumont Dr
Suite 4
Baton Rouge, LA 70806-1412

Mailing address

2097 Beaumont Dr
Suite 4
Baton Rouge, LA 70806-1412
Phone (225) 394-5044

National Provider Directory

National Provider Directory
Tax ID family
Beaumont Urgent Care Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2097 Beaumont Dr
Ste 4
Baton Rouge, LA 70806
Phone (225) 394-5044

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333065600000",
    "number": "1104192434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2097 BEAUMONT DR",
            "address_2": "SUITE 4",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708061412",
            "telephone_number": "225-394-5044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2097 BEAUMONT DR",
            "address_2": "SUITE 4",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708061412",
            "telephone_number": "225-394-5044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUMONT URGENT CARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-30",
        "last_updated": "2012-03-30",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "TAMMIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "225-394-5044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.