NPIMap

Organization Active NPI

Rapid Urgent Care, Inc

  • Urgent Care Clinic/Center
  • Metairie, LA
National Provider Identifier
1104272863
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
RAPID URGENT CARE, INC
Practice address
3908 Veterans Memorial Blvd
Suite 5
Metairie, LA 70002-5641
Phone
(504) 218-8959
Fax
(504) 267-3957
NPI assigned
May 11, 2016
Last updated
Feb 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Authorized official

Name
Edward Jackson De III, MD
Title
Cea
Phone
(985) 249-5600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

3908 Veterans Memorial Blvd
Suite 5
Metairie, LA 70002-5641

Mailing address

229 Saint John LN
Covington, LA 70433-3276
Phone (866) 875-9225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130506000203 LA Part B Supplier - Clinic/Group Practice 0840437174 Receives reassigned benefits from 207 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Metairie, LA; Slidell, LA; Mandeville, LA; Covington, LA; Bogalusa, LA; Amite, LA; Albany, LA

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2112572Rapid Urgent Care Inc3908 Veterans Memeorial Blvd, Suite 5, Metairie, LA 70002Certificate of waiverMay 2, 2028

National Provider Directory

National Provider Directory
Tax ID family
Rapid Urgent Care Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Practitioners & affiliated clinicians

Practitioners 175

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 175

NPI Registry JSON

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581984000000",
    "number": "1104272863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 SAINT JOHN LN",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704333276",
            "telephone_number": "866-875-9225",
            "fax_number": "985-888-6817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3908 VETERANS MEMORIAL BLVD",
            "address_2": "SUITE 5",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700025641",
            "telephone_number": "504-218-8959",
            "fax_number": "504-267-3957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAPID URGENT CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-11",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A",
        "authorized_official_last_name": "DE",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "JACKSON",
        "authorized_official_title_or_position": "CEA",
        "authorized_official_telephone_number": "985-249-5600",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.