NPIMap

Organization Active NPI

Calcasieu Urgent Care LLC

Doing business as Calcasieu Urgent Care

  • Urgent Care Clinic/Center
  • Lake Charles, LA
National Provider Identifier
1467715490
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
CALCASIEU URGENT CARE LLC
Doing business as
Calcasieu Urgent Care
Practice address
2640 Country Club Rd
Suite 400
Lake Charles, LA 70605-5912
Phone
(931) 253-1110
NPI assigned
Jun 25, 2012
Last updated
Aug 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Authorized official

Name
Melissa Harlan
Title
Director Credentialing & Enrollment
Phone
(615) 948-9639

Specialties & licenses 1

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

Addresses

Primary practice location

2640 Country Club Rd
Suite 400
Lake Charles, LA 70605-5912

Mailing address

PO Box 306416
Nashville, TN 37230-6416

Other names 1

  • Calcasieu Urgent Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130109000768 LA Part B Supplier - Clinic/Group Practice 5496908071 Receives reassigned benefits from 345 practitioners
Practice locations: Lake Charles, LA; Leesville, LA; Mansfield, LA; Houma, LA; Marrero, LA; Monroe, LA; Morgan City, LA; Natchitoches, LA…

Other NPIs with the same Medicare PAC ID 3

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

National Provider Directory

National Provider Directory

Locations

4225 E Windrose Dr
Ste 1100
Phoenix, AZ 85032

6501 Coliseum Blvd
Ste 600
Alexandria, LA 71303
Phone (888) 399-0906

9026 Jefferson Hwy
Ste 201
Baton Rouge, LA 70809
Phone (225) 243-1800

1910 Main St
Franklin, LA 70538
Phone (337) 907-3254

9414 E Park Ave
Houma, LA 70363
Phone (985) 601-5895

213 W Veterans Meml Dr
Kaplan, LA 70548
Phone (337) 282-1096

1101 S College Rd
Ste 401
Lafayette, LA 70503
Phone (337) 210-3911

1355 Sam Houston Jones Pkwy
Ste 105110
Lake Charles, LA 70611

2640 Country Club Rd
Lake Charles, LA 70605
Phone (337) 426-0919

2900 Gerstner Memorial Dr
Lake Charles, LA 70601
Phone (337) 485-4185

1121 Polk St
Mansfield, LA 71052
Phone (318) 575-2143

3330 W Esplanade Ave S
Ste 108
Metairie, LA 70002
Phone (504) 588-6900

307 Keyser Ave
Natchitoches, LA 71457
Phone (318) 352-5221

57 Pinecrest Dr
Pineville, LA 71360
Phone (318) 232-6071

3439 Highway 1256
Sulphur, LA 70665
Phone (337) 607-0037

Practitioners & affiliated clinicians

Practitioners 387

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 387

NPI Registry JSON

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

{
    "created_epoch": "1340582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1467715490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306416",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 COUNTRY CLUB RD",
            "address_2": "SUITE 400",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706055912",
            "telephone_number": "931-253-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALCASIEU URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-25",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "HARLAN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "DIRECTOR CREDENTIALING & ENROLLMENT",
        "authorized_official_telephone_number": "615-948-9639"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "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 Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.