Calcasieu Urgent Care LLC
Organization Active NPI Rural Health Clinic/Center · Kaplan, LA
NPI 1609384189 · NPPES record last updated Sep 20, 2024
Key facts
- NPI
- 1609384189
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- CALCASIEU URGENT CARE LLC
- Practice address
- 213 W Veterans Memorial Drive
Kaplan, LA 70548-4918 - Phone
- (337) 282-1096
- Fax
- (337) 514-2801
- NPI assigned
- Jan 18, 2018
- Organization subpart
- Yes
- Parent organization (as reported)
- CALCASIEU URGENT CARE LLC
Authorized official
- Name
- Christy Littlejohn
- Title
- Manager
- Phone
- (931) 981-1901
Owners & managing parties with NPI records 1
-
Selena Michelle Gurley, CRNP
Other NPIs on the same Medicare enrollment 1
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D2270631 | Calcasieu Urgent Care, LLC | Certificate of waiver | Oct 17, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
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
- LLC · Proprietary
- Incorporated
- May 4, 2012 in LA
- Enrollment address
- 387 W Railroad Ave
Independence, LA 70443-2292
All disclosed owners & managing parties 3
| Name | Role | Since | Share |
|---|---|---|---|
| Melissa Harlan |
W-2 Managing Employee |
Jan 1, 2024 | 100% |
| Operational/Managerial Control |
Jan 1, 2024 | 100% | |
| Selena Michelle Gurley |
5% Or Greater Direct Ownership Interest |
May 1, 2019 | 100% |
| Christy Littlejohn |
W-2 Managing Employee |
Jan 1, 2024 | 100% |
| Operational/Managerial Control |
Jan 1, 2024 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Part of
- Calcasieu Urgent Care LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Yes |
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
- Crowley Urgent Care
Other providers in Kaplan, LA
- Scott James Bergeaux
- Sureshkumar Himatlal Bhatt
- Lori Blanchard
- Lanie Renee Boullion
- Tammany Boutte
- Carl J Richard, M.D.
- Children & Adolescent Clinic
- Chiropractic Pain Management & Injury Clinic
- Compass Behavioral Center LLC
- Ai Hau Sandra Dang
All providers in Kaplan, LA · Rural Health 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 Sep 20, 2024. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.