NPIMap

Organization Active NPI

Calcasieu Urgent Care LLC

Doing business as Calcasieu Urgent Care

  • Community/Behavioral Health Agency
  • Lake Charles, LA
National Provider Identifier
1508494964
Registry record updated Nov 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CALCASIEU URGENT CARE LLC
Doing business as
Calcasieu Urgent Care
Practice address
2640 Country Club Rd Ste 400
Lake Charles, LA 70605-6079
Phone
(337) 426-0919
Fax
(337) 426-0931
NPI assigned
Mar 31, 2020
Last updated
Nov 16, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
CALCASIEU URGENT CARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 16, 2020

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

Authorized official

Name
Robert Michael Anderson
Title
Owner/MD
Phone
(337) 426-0919

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2640 Country Club Rd Ste 400
Lake Charles, LA 70605-6079

Mailing address

2640 Country Club Rd Ste 400
Lake Charles, LA 70605-6079
Phone (337) 426-0919

Other names 1

  • Calcasieu Urgent Care Doing business as

National Provider Directory

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

Other organizations with this tax ID 11

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

NPI Registry JSON

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605484800000",
    "number": "1508494964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 COUNTRY CLUB RD STE 400",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706056079",
            "telephone_number": "337-426-0919",
            "fax_number": "337-426-0931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 COUNTRY CLUB RD STE 400",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706056079",
            "telephone_number": "337-426-0919",
            "fax_number": "337-426-0931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALCASIEU URGENT CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CALCASIEU URGENT CARE LLC",
        "enumeration_date": "2020-03-31",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "337-426-0919"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "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 Nov 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.