NPIMap

Organization Active NPI

Rapid Urgent Care, Inc.

  • Urgent Care Clinic/Center
  • Mandeville, LA
National Provider Identifier
1285970780
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
RAPID URGENT CARE, INC.
Practice address
1111 N Causeway Blvd
Mandeville, LA 70471-3409
Phone
(985) 249-5600
Fax
(985) 249-5618
NPI assigned
Jan 2, 2013
Last updated
Feb 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Authorized official

Name
Edward Jackson Dease III, MDNPI 1881637973
Title
Owner
Phone
(985) 249-5600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1111 N Causeway Blvd
Mandeville, LA 70471-3409

Mailing address

229 Saint John LN
Covington, LA 70433-3276
Phone (866) 875-9225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130506000203 LA Part B Supplier - Clinic/Group Practice 0840437174 Receives reassigned benefits from 207 practitioners
7 other NPIs on this enrollment
Practice locations: Metairie, LA; Slidell, LA; Mandeville, LA; Covington, LA; Bogalusa, LA; Amite, LA; Albany, LA

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
19D2053244Rapid Urgent Care Inc1111 N Causeway Blvd, Mandeville, LA 70471Certificate of waiverJan 28, 2027

National Provider Directory

National Provider Directory
Tax ID family
Rapid Urgent Care Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

1111 N Causeway Blvd
Ste 2
Mandeville, LA 70471

Practitioners & affiliated clinicians

Practitioners 212

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.

View all 212

NPI Registry JSON

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

{
    "created_epoch": "1357084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581984000000",
    "number": "1285970780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 SAINT JOHN LN",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704333276",
            "telephone_number": "866-875-9225",
            "fax_number": "985-249-5618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N CAUSEWAY BLVD",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713409",
            "telephone_number": "985-249-5600",
            "fax_number": "985-249-5618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAPID URGENT CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-02",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A",
        "authorized_official_last_name": "DEASE",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "JACKSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-249-5600",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.