Lake Urgent Care Ascension LLC
Organization Active NPI Urgent Care Clinic/Center · Saint Amant, LA
NPI 1487024618 · NPPES record last updated Jan 24, 2023
Key facts
- NPI
- 1487024618
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urgent Care Clinic/Center 261QU0200X
- Legal business name
- LAKE URGENT CARE ASCENSION LLC
- Practice address
- 10714 Highway 431
Saint Amant, LA 70774-3904 - Phone
- (225) 644-0005
- Fax
- (225) 214-9349
- NPI assigned
- Sep 30, 2015
- Organization subpart
- No
Authorized official
- Name
- Steve Sellars
- Title
- President
- Phone
- (225) 214-9353
Other NPIs on the same Medicare enrollment 3
Practitioners 156
-
Demi Armbruster, FNP-C
-
Cher Yan Aymond, MD
-
Chad A. Beeman, CFNP
-
Emily Caillet Best, FNP
-
Lisa H Bishop, DNP
-
Kissley Booker, MSN, APRN, FNP-C
-
Effie Branton, M.D.
-
Matthew Bumgardner, M.D.
-
Maisie Burgess, FNP
-
Lawrence C Carter, M.D.
-
Heidi Rodrigue Cehan, FNP-C
-
Nicolette Quinn Chadwell, PA-C
-
Aaron Dean Chauvin, PAC
-
Kimberly Chu, FNP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130627000023 | LA | Part B Supplier - Clinic/Group Practice | 0244479095 |
Receives reassigned benefits from 154 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Gonzales, LA; Prairieville, LA; Saint Amant, LA |
National Provider Directory
Locations
1702 N Burnside Ave
Gonzales, LA 70737
Phone (225) 257-9574
17609 Old Jefferson Hwy
Prairieville, LA 70769
Phone (225) 677-7060
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Yes |
Addresses
Primary practice location
10714 Highway 431
Saint Amant, LA 70774-3904
Mailing address
PO Box 679641
Dallas, TX 75267-9641
Other providers in Saint Amant, LA
- Kasey Brasseaux Ford
- John Luke Fryoux
- Emma Gautreau
- Amber Shay Johnson
- Caitlyn Christine Klingman
- Amanda Laviolette
- Satyanarayana Malur
- Kanisha R Miller
- Hollie Bronson Ortis
- Perfect Care Transportation, LLC
All providers in Saint Amant, LA · Urgent Care Clinic/Center in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.