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PCP Urgent Care Holdings LLC

Organization Active NPI Durable Medical Equipment & Medical Supplies · Hammond, LA

NPI 1285488304 · NPPES record last updated Nov 20, 2024

Key facts

NPI
1285488304
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
PCP URGENT CARE HOLDINGS LLC
Practice address
1706 SW Railroad Ave
Hammond, LA 70403-6146
Phone
(985) 826-7782
Fax
(985) 318-7163
NPI assigned
Apr 15, 2024
Organization subpart
No

Authorized official

Name
Mr. Steven Edward Presley, PA-C
Title
Chief Strategy Officer
Phone
(225) 663-6827

Other NPIs with the same Medicare PAC ID 11

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 10

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

Practitioners 47

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 47

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
PCP Urgent Care Holdings LLC
1706 SW Railroad Ave, Hammond, LA 70403-6146 · (985) 826-7782		 Heat & Cold Applications|Canes and/or Crutches|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf Accepts assignment
Participating since Nov 15, 2015

Medicare participation

Medicare fee-for-service enrollment
Enrolled in LA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20250110001479 LA DME Supplier - Other 5092016816 Practice locations: Hammond, LA

National Provider Directory

Tax ID family
PCP Urgent Care Holdings LLC (11 organizations share this tax ID)

Locations

1706 SW Railroad Ave
Hammond, LA 70403
Phone (985) 826-7782

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Yes
Customized Equipment (DME) 332BC3200X
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

1706 SW Railroad Ave
Hammond, LA 70403-6146

Mailing address

8540 Siegen LN Ste B
Baton Rouge, LA 70810-2372
Phone (225) 224-8690

Other identifiers

IdentifierTypeStateIssuer
2406159MedicaidLA

Other names

  • Patient Plus Urgent Care Doing business as

Other providers in Hammond, LA

All providers in Hammond, LA · Durable Medical Equipment & Medical Supplies in Louisiana

Sources for this page

Verify at the official NPI Registry.