Active NPI
Sabine Urgent Care, LLC
- Rural Health Clinic/Center
- Many, LA
National Provider Identifier
1104288976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- SABINE URGENT CARE, LLC
- Practice address
- 315 S Highland Dr
Suite B
Many, LA 71449-3719 - Phone
- (318) 590-9390
- Fax
- (318) 590-9392
- NPI assigned
- Mar 22, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Crowe, MD
- Title
- Owner
- Phone
- (337) 239-2207
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Primary | ||
| Urgent Care Clinic/Center | 261QU0200X |
Addresses
Primary practice location
315 S Highland Dr
Suite B
Many, LA 71449-3719
Mailing address
PO Box 130
New Llano, LA 71461-0130
Phone (337) 239-2207
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200611002775 | LA | Part A Provider - Rural Health Clinic | 5092072256 | Practice locations: Many, LA |
Rural health clinic certification: CCN 193968
- Legal name
- SABINE URGENT CARE, LLC
- Doing business as
- SABINE URGENT CARE OF MANY
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Dec 29, 2020
- Last certification
- Dec 29, 2023
- Ownership / control type
- 1B
- Organization structure
- LLC
- Incorporated
- Feb 24, 2016 in LA
- Enrollment address
- 315 S Highland Dr
Ste B
Many, LA 71449-3719
National Provider Directory
National Provider DirectoryLocations
919 S 10th St
Leesville, LA 71446
Phone (337) 239-2207
Ownership & related parties
All disclosed owners & managing parties 2
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Robert F Crowe | 5% Or Greater Direct Ownership Interest | Feb 24, 2016 | 100% |
| Chelsea Thompson | W-2 Managing Employee | Sep 1, 2016 | 25% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Pediatrics Physician
- Leesville, LA
- NPI 1790774958
5% Or Greater Direct Ownership Interest
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458604800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1611619200000",
"number": "1104288976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 130",
"city": "NEW LLANO",
"state": "LA",
"postal_code": "714610130",
"telephone_number": "337-239-2207",
"fax_number": "337-239-2583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 S HIGHLAND DR",
"address_2": "SUITE B",
"city": "MANY",
"state": "LA",
"postal_code": "714493719",
"telephone_number": "318-590-9390",
"fax_number": "318-590-9392"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SABINE URGENT CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-22",
"last_updated": "2021-01-26",
"certification_date": "2021-01-26",
"status": "A",
"authorized_official_last_name": "CROWE",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "337-239-2207",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Many, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.