NPIMap

Organization Active NPI

Coastal Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Gonzales, LA
National Provider Identifier
1568601425
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
COASTAL URGENT CARE, LLC
Practice address
1124 S Burnside Ave
Suite A100
Gonzales, LA 70737-4249
Phone
(225) 644-5508
Fax
(225) 751-6686
NPI assigned
Feb 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Authorized official

Name
Erica Hauser
Title
Cfo
Phone
(312) 590-5372

Specialties & licenses 1

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

Addresses

Primary practice location

1124 S Burnside Ave
Suite A100
Gonzales, LA 70737-4249

Mailing address

600 Jefferson St Ste 600
Lafayette, LA 70501-6987
Phone (337) 202-0720

Other practice location 1

9808 Bluebonnet Blvd
Baton Rouge, LA 70810-6442
Phone (225) 224-8121

Other practice location 2

1009 S Service Rd W
Ruston, LA 71270-2364
Phone (318) 242-1440

Other practice location 3

8021 E Texas St
Bossier City, LA 71111-7016
Phone (318) 532-5060

Other practice location 4

5314 Airline Dr
Bossier City, LA 71111-6711
Phone (318) 678-5272

Other practice location 5

971 Robert Blvd
Slidell, LA 70458-2009
Phone (985) 690-8300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090611000042 LA Part B Supplier - Clinic/Group Practice 8729138896 Receives reassigned benefits from 138 practitioners
Practice locations: Slidell, LA; Ruston, LA; Gonzales, LA; Bossier City, LA; Baton Rouge, LA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D1096695Coastal Urgent Care LLC1124 S Burnside Avenue Suite A100, Gonzales, LA 70737Certificate of waiverMar 9, 2027
19D2082251Coastal Urgent Care, LLC9808 Bluebonnet Boulevard, Baton Rouge, LA 70810Certificate of waiverAug 10, 2026
19D2118496Coastal Urgent Care, LLC5314 Airline Dr, Bossier City, LA 71111Certificate of waiverOct 3, 2027
19D2157758Coastal Urgent Care, LLC1009 S Service Road West, Ruston, LA 71270Certificate of waiverNov 12, 2026
19D2158619Coastal Urgent Care, LLC8021 E Texas St, Bossier City, LA 71111Certificate of waiverDec 2, 2026
19D2300278Coastal Urgent Care, LLC971 Robert Blvd, Slidell, LA 70458Certificate of waiverMar 5, 2028

National Provider Directory

National Provider Directory

Locations

8021 E Texas St
Bossier City, LA 71111
Phone (225) 706-3033

1124 S Burnside Ave
Gonzales, LA 70737

1124 S Burnside Ave
Ste 100A
Gonzales, LA 70737
Phone (225) 644-5503

1009 S Service Rd W
Ruston, LA 71270
Phone (318) 242-1440

971 Robert Blvd
Slidell, LA 70458
Phone (985) 690-8300

Practitioners & affiliated clinicians

Practitioners 140

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 140

NPI Registry JSON

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

{
    "created_epoch": "1234742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1568601425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 JEFFERSON ST STE 600",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705016987",
            "telephone_number": "337-202-0720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 S BURNSIDE AVE",
            "address_2": "SUITE A100",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707374249",
            "telephone_number": "225-644-5508",
            "fax_number": "225-751-6686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9808 Bluebonnet Blvd",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708106442",
            "country_code": "US",
            "telephone_number": "225-224-8121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1009 S Service Rd W",
            "address_purpose": "LOCATION",
            "city": "Ruston",
            "state": "LA",
            "postal_code": "712702364",
            "country_code": "US",
            "telephone_number": "318-242-1440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8021 E Texas St",
            "address_purpose": "LOCATION",
            "city": "Bossier City",
            "state": "LA",
            "postal_code": "711117016",
            "country_code": "US",
            "telephone_number": "318-532-5060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5314 Airline Dr",
            "address_purpose": "LOCATION",
            "city": "Bossier City",
            "state": "LA",
            "postal_code": "711116711",
            "country_code": "US",
            "telephone_number": "318-678-5272",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "971 Robert Blvd",
            "address_purpose": "LOCATION",
            "city": "Slidell",
            "state": "LA",
            "postal_code": "704582009",
            "country_code": "US",
            "telephone_number": "985-690-8300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COASTAL URGENT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-16",
        "last_updated": "2024-03-19",
        "certification_date": "2023-02-21",
        "status": "A",
        "authorized_official_last_name": "HAUSER",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "312-590-5372"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gonzales, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.