Sabine Urgent Care, LLC

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

Last updated

Jan 26, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert Crowe, MDNPI 1790774958

Title

Owner

Phone

(337) 239-2207

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1104288976. Details of each certification follow.

• CCN 193968 Rural health clinic · Active · Details

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

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.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Robert Franklin Crowe, M.D., M.S.

  • Pediatrics Physician
  • Leesville, LA
  • NPI 1790774958

  5% Or Greater Direct Ownership Interest

  CMS ownership

Practitioners 1

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.

• Robert Franklin Crowe, M.D., M.S.

  • Pediatrics Physician
  • Leesville, LA
  • NPI 1790774958
  Authorized official Same address or phone

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": []
}

• Sabine Medical Center
• Sabine Medical Center Inc (Sabine Medical Center)
• Sabine Parish School Board
• Sabine Parish Schools
• Sabine Retirement & Rehabilitation Center, LLC (Sabine Retirement & Rehabilitation Center)
• Lauren Paige Salley, FNP
• Kaci Savell, RD, LDN
• Christopher Allen Schlag, PA-C
• Stephanie Ellaine Self, RSW
• Elva Sepulvado, MCD,CCC-SLP

• Rural Health Clinic/Center in Many, LA
• Providers in Many, LA by specialty
• Rural Health Clinic/Center in Louisiana

• 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.

Verify at the official NPI Registry.