NPIMap

Organization Active NPI

Calcasieu Urgent Care LLC

Doing business as Calcasieu Urgent Care

  • Physical Therapist
  • Sulphur, LA
National Provider Identifier
1225404072
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CALCASIEU URGENT CARE LLC
Doing business as
Calcasieu Urgent Care
Practice address
1429 Beglis Pkwy
Sulphur, LA 70663-5603
Phone
(337) 528-8000
Fax
(337) 528-4933
NPI assigned
Aug 17, 2015
Last updated
Apr 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Authorized official

Name
Sydni Clemmons
Title
Credentialing Manager
Phone
(901) 351-1791

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

1429 Beglis Pkwy
Sulphur, LA 70663-5603

Mailing address

1429 Beglis Pkwy
Sulphur, LA 70663-5603
Phone (337) 528-8000

Other names 1

  • CALCASIEU URGENT CARE Doing business as

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
19D2043050Calcasieu Urgent Care LLC1429 S Beglis Parkway, Sulphur, LA 70663Certificate of waiverAug 9, 2027

National Provider Directory

National Provider Directory
Tax ID family
Calcasieu Urgent Care LLC12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

NPI Registry JSON

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

{
    "created_epoch": "1439769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619049600000",
    "number": "1225404072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1429 BEGLIS PKWY",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706635603",
            "telephone_number": "337-528-8000",
            "fax_number": "337-528-4933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1429 BEGLIS PKWY",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706635603",
            "telephone_number": "337-528-8000",
            "fax_number": "337-528-4933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALCASIEU URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-17",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A",
        "authorized_official_last_name": "CLEMMONS",
        "authorized_official_first_name": "SYDNI",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "901-351-1791"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CALCASIEU URGENT CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CALCASIEU URGENT CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sulphur, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.