Organization Active NPI

Sabine Urgent Care, LLC

  • Rural Health Clinic/Center
  • Many, LA
National Provider Identifier
1104288976
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
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

Updated by the provider on Jan 26, 2021

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
Incorporated
Feb 24, 2016 in LA
Enrollment address
315 S Highland Dr
Ste B
Many, LA 71449-3719

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Robert F Crowe Individual 5% Or Greater Direct Ownership InterestOwner Feb 24, 2016 100%
Chelsea Thompson Individual W-2 Managing EmployeeBusiness Manager 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.

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

Verify at the official NPI Registry.