Organization Active NPI

Tchefuncta Urgent Care, Inc.

  • Urgent Care Clinic/Center
  • Covington, LA
National Provider Identifier
1346493525
Registry record updated Jul 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
MD.019575 Issued in LA
Legal business name
TCHEFUNCTA URGENT CARE, INC.
Practice address
71338 Hwy 21
Suite 100
Covington, LA 70433
Phone
(985) 809-8868
Fax
(985) 809-8838
NPI assigned
Oct 31, 2008
Last updated
Jul 26, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2019

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

Authorized official

Name
Dr. Luis F Matta II, MDNPI 1003817941
Title
President
Phone
(985) 809-8868

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 MD.019575 LA Primary

Addresses

Primary practice location

71338 Hwy 21
Suite 100
Covington, LA 70433

Mailing address

71338 Hwy 21
Suite 100
Covington, LA 70433
Phone (985) 809-8868

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090129000021 LA Part B Supplier - Clinic/Group Practice 1254495799 Receives reassigned benefits from 4 practitioners
Practice locations: Covington, LA

National Provider Directory

National Provider Directory

Locations

614 W 11th Ave
Covington, LA 70433
Phone (985) 809-8868

71205 Highway 21
#1
Covington, LA 70433
Phone (985) 809-8868

71338 Highway 21
Ste 100
Covington, LA 70433
Phone (985) 809-8868

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564099200000",
    "number": "1346493525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71338 HWY 21",
            "address_2": "SUITE 100",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "70433",
            "telephone_number": "985-809-8868",
            "fax_number": "985-809-8838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71338 HWY 21",
            "address_2": "SUITE 100",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "70433",
            "telephone_number": "985-809-8868",
            "fax_number": "985-809-8838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TCHEFUNCTA URGENT CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-31",
        "last_updated": "2019-07-26",
        "status": "A",
        "authorized_official_last_name": "MATTA",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "985-809-8868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "LA",
            "license": "MD.019575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.