Organization Active NPI

Calcasieu Urgent Care LLC

Doing business as Crowley Urgent Care

  • Rural Health Clinic/Center
  • Kaplan, LA
National Provider Identifier
1609384189
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
Doing business as
Crowley Urgent Care
Practice address
213 W Veterans Memorial Drive
Kaplan, LA 70548-4918
Phone
(337) 282-1096
Fax
(337) 514-2801
NPI assigned
Jan 18, 2018
Last updated
Sep 20, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
CALCASIEU URGENT CARE LLCAs reported in NPPES

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
Manager
Phone
(931) 981-1901

Specialties & licenses 1

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

Addresses

Primary practice location

213 W Veterans Memorial Drive
Kaplan, LA 70548-4918

Mailing address

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

Other names 1

  • Crowley 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
O20231206002275 LA Part A Provider - Rural Health Clinic 5496908071 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Independence, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609384189. Details of each certification follow.

Rural health clinic certification: CCN 198934

Legal name
CALCASIEU URGENT CARE LLC
Doing business as
FAST PACE HEALTH
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Nov 24, 2025
Last certification
Nov 24, 2025
Ownership / control type
1A
Organization structure
LLCProprietary
Incorporated
May 4, 2012 in LA
Enrollment address
387 W Railroad Ave
Independence, LA 70443-2292

Other NPIs on the same Medicare enrollment 1

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

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
19D2270631Calcasieu Urgent Care, LLC213 W Veterans Memorial, Kaplan, LA 70548Certificate of waiverOct 17, 2026

National Provider Directory

National Provider Directory
Part of
Calcasieu Urgent Care LLC

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 Jan 1, 2024 100%
Operational/Managerial ControlDirector Jan 1, 2024 100%
Selena Michelle Gurley Individual 5% Or Greater Direct Ownership InterestOwner May 1, 2019 100%
Christy Littlejohn Individual W-2 Managing EmployeeSr Manager Jan 1, 2024 100%
Operational/Managerial ControlSr Manager Jan 1, 2024 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": "1516233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726790400000",
    "number": "1609384189",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 W VETERANS MEMORIAL DRIVE",
            "city": "KAPLAN",
            "state": "LA",
            "postal_code": "705484918",
            "telephone_number": "337-282-1096",
            "fax_number": "337-514-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALCASIEU URGENT CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CALCASIEU URGENT CARE LLC",
        "enumeration_date": "2018-01-18",
        "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": "MANAGER",
        "authorized_official_telephone_number": "931-981-1901"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crowley Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kaplan, LA

Sources for this page

Verify at the official NPI Registry.