NPIMap

Organization Active NPI

Calcasieu Urgent Care LLC

  • Rural Health Clinic/Center
  • Donaldsonville, LA
National Provider Identifier
1497572614
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
CALCASIEU URGENT CARE LLC
Practice address
1299 Marchand Dr
Donaldsonville, LA 70346-1366
Phone
(225) 725-0087
NPI assigned
Sep 20, 2024
Last updated
Sep 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Authorized official

Name
Christy Littlejohn
Title
Sr Manager
Phone
(931) 981-1901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

1299 Marchand Dr
Donaldsonville, LA 70346-1366

Mailing address

PO Box 681029
Franklin, TN 37068-1029
Phone (931) 981-1901

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220527001427 LA Part A Provider - Rural Health Clinic 5496908071 1 other NPI on this enrollment
Practice locations: Donaldsonvlle, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497572614. Details of each certification follow.

Rural health clinic certification: CCN 198935

Legal name
CALCASIEU URGENT CARE LLC
Doing business as
FAST PACE HEALTH
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Dec 9, 2025
Last certification
Dec 9, 2025
Ownership / control type
1A
Organization structure
OtherProprietary
Incorporated
May 4, 2012 in LA
Enrollment address
1299 Marchand Dr
Donaldsonvlle, LA 70346-1366

Other NPIs with the same Medicare PAC ID 3

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

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Tax ID family
Calcasieu Urgent Care LLC12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Melissa Harlan Individual W-2 Managing EmployeeDirector Sep 1, 2025 100%
Operational/Managerial ControlDirector Sep 1, 2025 100%
Selena Michelle Gurley Individual 5% Or Greater Direct Ownership InterestOwner May 1, 2022 100%
Christy Littlejohn Individual W-2 Managing EmployeeManager Sep 1, 2025 100%
Operational/Managerial ControlManager Sep 1, 2025 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

NPI Registry JSON

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

{
    "created_epoch": "1726790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726790400000",
    "number": "1497572614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 681029",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370681029",
            "telephone_number": "931-981-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1299 MARCHAND DR",
            "city": "DONALDSONVILLE",
            "state": "LA",
            "postal_code": "703461366",
            "telephone_number": "225-725-0087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALCASIEU URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-20",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A",
        "authorized_official_last_name": "LITTLEJOHN",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "SR MANAGER",
        "authorized_official_telephone_number": "931-981-1901"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Donaldsonville, LA

Sources for this page

Verify at the official NPI Registry.