Organization Active NPI

MHM Urgent Care Houma, LLC

  • Urgent Care Clinic/Center
  • Houma, LA
National Provider Identifier
1184057085
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MHM URGENT CARE HOUMA, LLC
Practice address
5922 W Main St
Suite a
Houma, LA 70360-1715
Phone
(504) 831-3112
Fax
(504) 831-3778
NPI assigned
Aug 14, 2013
Last updated
Oct 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2014

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

Authorized official

Name
Keith Leblanc Sr.
Title
Ceo
Phone
(504) 831-3112

Specialties & licenses 1

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

Addresses

Primary practice location

5922 W Main St
Suite a
Houma, LA 70360-1715

Mailing address

3510 N Causeway Blvd
Suite 110
Metairie, LA 70002-3531
Phone (504) 831-3112

Other identifiers 2

IdentifierTypeStateIssuer
2353462MedicaidLA
322197OtherLAMEDICARE ID

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1376438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1184057085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 N CAUSEWAY BLVD",
            "address_2": "SUITE 110",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700023531",
            "telephone_number": "504-831-3112",
            "fax_number": "504-831-3778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5922 W MAIN ST",
            "address_2": "SUITE A",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703601715",
            "telephone_number": "504-831-3112",
            "fax_number": "504-831-3778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MHM URGENT CARE HOUMA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-14",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "LEBLANC",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "504-831-3112",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2353462",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "322197",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.